A Chiropractor's Path to Purpose: Dr. Taylor Premer's Story
Beau Beard (00:00.093)
Hold on one second. So yeah, how you been?
Taylor Premer (00:04.236)
Good, yeah. Life's been a little bit crazy in the last couple months, but yeah, life's good.
Beau Beard (00:09.243)
Yeah, so give me kind of the rundown. I I haven't talked to you in person since Prague. I don't think I've seen you. So that's been a while ago. But when did you make the move back home?
Taylor Premer (00:22.03)
So we moved in June, so a couple months ago. Yeah, so it's pretty fresh. So yeah, it was kind of a crazy turn of events, but basically we made the decision kind of late last year. And then, yeah, I gave Brett a runway shoot close to six months. And then, yeah, we opened up Prima Health in performance June, like late June, and then the rest is history. We've been here, so.
Beau Beard (00:40.455)
Mm-hmm.
Beau Beard (00:47.473)
Let's leave a cliffhanger for how that's going towards the end, because we'll have a progression there. But I kind of mentioned this to you before the show, obviously, the theme this season is, know, how did your clinical expertise lead to success? And then where has that led you, whether that's, you know, in the clinic or outside of the clinic? So just for those who may not know who you are or not familiar with the story personally, you know, why did you get into chiropractic? How long have you been in practice? And then we'll kind of hit some details beyond that.
Taylor Premer (00:50.446)
Yeah, yeah.
Taylor Premer (01:15.566)
Sweet man, yeah, so I grew up in a little tiny town in the middle of Nebraska. And so the way I always say it is there was 800 people, I graduated with 30 people in my class, and there was basically nothing. And so my grandpa was actually a veterinarian. And so my first kind of love for, I don't know, health and taking care of people and being kind of an advocate was watching him work with animals, ironically, and just watching the compassion he had for them. And so...
I watched how hard he worked though and he was pretty steadfast and saying that you need to do something easier and so I decided well working with humans would be easier little did I know maybe that's not the case right but if anyway so I you know going through I had athletic injuries like crazy and we had basically no support and so I went to a chiropractor that helped temporarily but then you know had Siebers disease and Osgood's slaughters and all these like underlying athletic injuries that also had these like massive functional medicine components that I really didn't really
Beau Beard (01:46.065)
you
Beau Beard (01:49.595)
Yeah
Taylor Premer (02:10.542)
understand until kind of I got past chiropractic school anyways, but so anyway I thought it was gonna be a heart surgeon I went and shadowed my uncle who's an anesthesiologist and I fell in love with surgery, but I hated the hospital So I said, okay. Well, that's no go can't do that At that point I had a cousin who was battling scleroderma who was actually living with us And for those who don't know about scleroderma, it's a horrible disease basically It turns your entire body to stone your organs your skin your bones things like that. And so
At that point, my mom and I kind of dove in like trying to figure out how in the heck we were gonna help Corey, my cousin. And we started to go down the nutrition route and started understanding more things about supplements and other things along those lines that kind of got piqued my interest. And so at that point, I switched my degree over to nutrition. And my first nutrition science class, was a middle-aged woman who walked in and the first day of class, she had to walk out 30 minutes later because she had a migraine.
And every single day she would walk in with a giant diet soda, like a diet Coke. It was like the 32 ounce, I mean, insane. And I was just like, well, I've known like artificial sweeteners are not good for you. So I went up to her one day I was like, hey, did you know that artificial sweeteners can be linked to headaches and stuff like that? She's like, oh no, that's bull crap. That's BS. That doesn't actually happen. I was like, oh, okay. And so then I was so frustrated with nutrition and I'm like, well, I don't want to do nutrition. Like, I don't really know what to do. And so I kind of stumbled upon chiropractic.
primary care and the rest is history. And so I basically started chiropractic school thinking I was going to do full functional medicine. And then I stumbled across this room in the basement at Cleveland University, which was MPI club and Marina Manganu was down there with Keith Sparks and Rachel Sparks teaching manipulation in a way that I was like, my goodness, like this is life changing. And so then that, that led me to meet Brett Winchester, who I think everybody you've had on your podcast has some sort of
correlation it's like Kevin Bacon right except for Brett Winchester and So I met Brett Winchester and and I went on a crusade following him around the country Never intended to work for him, but he called me one day and offered me a job and I said absolutely I'm gonna be there and so From there I did my internship in Troy and then I've worked I worked at Winchester Spine and Sport in Troy for the last eight years and so I'm on my eighth year of practice right now and
Beau Beard (04:05.021)
you
Taylor Premer (04:27.342)
Through that time, I mean, it was literally an unbelievable experience. We started to install education. We had a podcast that for five years, we put out one episode a week. We traveled around the entire world interviewing people on our podcast teaching and et cetera. Then I kind of hit the point where I know I'm getting long winded, but my appendix exploded last April and we were on vacation when it happened in Orlando at Disney World. And so what was the happiest place in the world turned out to be not so happy. And so,
the world, the universe, God, whoever you believe in taught me a very important lesson when I was laying in the hospital bed, and that's the lesson of stillness. And what I kind of realized is that I hadn't really given myself a chance to even think about what I wanted out of this life and what I wanted to build in my career and all these different things. And so my wife and I had some very good, honest, difficult conversations while I was laying in the hospital bed. And that led us to kind of make the decision that we wanted to try to have kids.
being having kids, being closer to family is always easier. And so I, it's funny when I was thinking about this, this episode and thinking about you, Bo, and the reason that you and Sloan ended up in Birmingham is kind of similar, right? The, the unwanted stillness is what drove you to be there. And so the unwanted stillness drove me to open up Premier Health Performance and, and I couldn't be happier being here with my family. And, and it's been, been a whirlwind, but really, really exciting. So that's where I am today. And here we are.
Beau Beard (05:53.947)
Well, first of all, thanks for sharing that story. I didn't know all of the background of like more of the functional medicine aim, which is kind of cool. The full circle, you know, personally and professionally, I'm sure that the appendix also drove you further into that realm, which we'll talk about, but the kind of funny thing here, which is, know, I wouldn't say ironic. I think it's wrong term to choose, but, I think it was when I was at a DNS at your guys' place at Winchester Spine and Sport back in the day.
Taylor Premer (05:56.162)
Yeah.
Taylor Premer (06:07.822)
Definitely.
Beau Beard (06:21.209)
I was kind of asking you something, you're like, no, we're dinks, know, double income, kids for life. And I was like, yeah, that'd be nice. So it's just kind of stuff changes, right? So whether that's professionally, clinically, you know, research, like stuff changes and being malleable is part of life. So I love just the opening there, which sets the stage for a ton of questions. So one of my first questions is, you know, one of the tougher things in my opinion about our field is how open it is. So.
Taylor Premer (06:27.586)
Yeah. Absolutely.
Taylor Premer (06:36.301)
Absolutely.
Beau Beard (06:50.105)
I got an undergraduate degree in marketing and then I realized like, God, it gives me no direction whatsoever. Well, then I made the magnificent choice of chiropractic, which basically isn't too different. So you can subspecialize, you can get actual, you know, kind of board certification specialties. So what I know MPI kind of opened that door to, you know, adjusting and that style of manipulation. Maybe it was just Brett and who you were surrounded with.
But you know, took that whole functional medicine spin, which is probably always there, but you went, you know, full in on this functional approach from the musculoskeletal side. Was there a point during that journey when you're like, this is it, I'm going to be the best in the world at the musculoskeletal approach from a conservative standpoint, or did you always think there's something more I'm going to expand? Like what was your mindset maybe three years into Winchester Spinesport?
Taylor Premer (07:18.158)
Mm-hmm.
Taylor Premer (07:38.318)
Yeah, I mean, early on, you know, my big focus was 100 % on how do I be better? And like, how do I live up to the expectations of Brett Winchester and Corey Campbell and Bo Beard and like all of these amazing people that I was so fortunate to be around and to be able to have amazing conversations and dinners and stuff with them. So yeah, to your point, that was my whole focus was just like, how do I live up to this expectation and how do I be the best version of myself? And really that evolved around my high school athletes and
I had kind of a tipping point that to your point of when it all happened, it was really early. It was my first year. And I was kind of, you a little bit disheartened because I wasn't seeing as much fulfillment in treating just regular everyday people. You know, like it was still fun and I loved it, but it wasn't, guess, what I had put it up in my mind to be. I think we've all probably had that moment where it's like, man, I thought this was going to be unbelievable. And not that it wasn't amazing, not that I didn't love it. It just wasn't as fulfilling. And then one day I had a...
She was a senior from a small town, Clapton, just north of Troy. And it was the week before they were playing in the state championship game and she had sprained her ankle in the semi-final game. And just so happened that she wound up on my schedule. It was literally like divine intervention. And I remember she walked in on crutches and had watched Brett treat ankle sprains and I've kind of treated them a little bit myself, but never to the extent of this. And the parents and her walk in and they say,
you we got to be ready to go in five days. Like, you know, this is my senior year. This is my last chance to stay championship game. You know, can you help us? And I remember there was like a switch that clicked in my brain. Like, I think I can, like, I think I can actually do this. And so for the next five days, I remember waking up every morning, like ready to go. I didn't care about anything else that was going on in my day. All I cared about was, it was Kerrigan, right? And so getting, getting that ability to, or that chance to make something happen that was, seemed impossible was what drove me. And so,
Long story short, we treated her every single day. I spent extra time with her. It was like filling my cup like I couldn't believe. And so she ended up playing. They unfortunately got beat, but it was still just an unbelievable thing. And I remember there was a moment where I sat down and my wife is always, she has a marketing background and she's very personal development. She's like, yes, all the things that I've been telling you to do are finally coming to a head. And that was to sit down and actually think about what you wanted out of, what do you wanna treat? Who do you wanna see? Like, where do you wanna spend your time?
Taylor Premer (10:00.3)
And that's where it kind of changed for me. And so that was my main focus for the rest of my time in Troy is how do I see more high school athletes and how do I get them back on the playing field faster and, know, efficacy or efficiently, safely. That's the word I was trying to come up with. But so, yeah, to your point, that was where it really like, you know, the rubber hit the road. Like, this is my focus. Like, I love seeing these kids. And so.
Beau Beard (10:15.847)
you
Taylor Premer (10:24.91)
Then I started going to a high school. I got on board with another high school. And then by the time I left Troy, I was actually working with three local high schools. And so I was treating patients in the high school itself, but then also in the office working sidelines and stuff like that. so that's where it really kind of, you know, I had gained all this knowledge and I was a seminar gypsy just like yourself and I had gone to everything, but I didn't really have like the hard correlation to like where it all comes together, where it all draws together until that moment.
where I saw that we can apply or I could apply all of these different things that I've known into the athlete. then, from there I was on a crusade to get better at acute injury care, sideline care, my diagnosis assessment, and so on and so forth to the point where I really loved it. And then from there, I always knew that I wanted to do something nutritionally or functional medicine wise, but it's just hard as you know to be a master in two domains. so,
I was always just very steadfast on trying to be the best clinically I could be for those people. And then, you know, if there was an opportunity later on, then, you know, we could explore that, which I did. So.
Beau Beard (11:27.463)
think one of the keys there is this is in kind of any domain is in particular, creativity gets talked about a lot as if you can create constraints on something, it allows you to actually operate better. You think sometimes it would limit you, but you're like, I had to kind of find whatever I to say, stumble upon a niche. And then the niche allowed me to like determine the gaps in your knowledge or where you had to like sharpen up rather than, again, we have such a giant sphere of like taking care of a human. Well, good luck, right? Well, no, like I'm to take care of a human.
Taylor Premer (11:52.974)
Yeah, right.
Beau Beard (11:56.861)
of this age, dealing with this scenario with this goal. And then I have a goal attached to theirs. And I think that's just like, yeah, that's what a lot of us are lacking in practice myself, maybe still to this day somewhat of like, yeah, I know what I want to do. But like that specificity, it just, think doesn't exist for a lot of people for a lot of reasons, right? It's tough. Like that's you stumbled upon it, right? It wasn't, I set out and did a mastermind course that showed me, oh, this is my thing. You just kind of like, oh yeah, here it is. So that being said, you know, you,
there was, that was, you know, maybe not towards the end of that time, Winchester Spine and Sport. He spent more time developing honing, you know, both from the professional and the kind of business side of things. So when you decided to make the move, which I have more questions about that, when you made the move and we're starting to literally game plan what, you know, primary health and performance is going to look like, is that the foundation of it? Is it a little bit different than that? Or what's it look like now?
Taylor Premer (12:50.35)
Yeah, it's a good question and it really is. It's different. And one of the main differentiating factors that I saw was that a lot of the kids that I was treating in Troy, in Troy, it's an affluent community, but it's a community like every other community where they had like 30 or 40 % of their kids were on free and reduced lunches. so manufacturing was a giant job. And so people wanted to use their insurance. And so that was a little bit of a...
a barrier that I even had in Troy of some kids just couldn't afford it, which allowed me to be able to treat kids for free, which technically under my contracts I had with the insurance companies was frowned upon or maybe would some even say illegal, but that was something that always just kind of torqued me a little bit working with the insurance companies and stuff. And so one of the first things we did with Premier Health Reform is I knew right away I'm not doing insurance.
With that though, it's a little bit harder to market to that athletic population when it comes to high school kids because a lot of the, you if you just take whatever 50 % of your population can't afford your pricing then if they're not using insurance. And so that forces to kind of change focus a little bit. And so that's still my long-term focus and I still do some education based on that, but my short-term focus is more on the parents. And so.
We're kind of targeting more of the, you know, executives, businessmen, people that are a little bit busier, especially as I step more into the functional medicine side. One of the big callings and the things that I think I can really help people with is those people, you know, such as yourself, such as me, that are just busy. don't have time to focus on, you know, their health and the fatigue and the brain fog and, you the lack of sleep and the dopamine issues and things like that that people are struggling with. It's just not at the forefront. And so to be able to attack those people first,
and then hopefully expand from that once I kind of have a more of a patient base. But the goal is to be able to have a busy practice to the point where we can treat these kids that maybe can't afford it for free or are massively reduced. But being all cash and outside of the insurance model really allows me to play with that a little bit more and to kind of have a little bit more, I don't know, openness to those people. But yeah, as of right now, I'm not focusing as far as marketing goes on those athletes, but I will be eventually.
Beau Beard (15:01.703)
how much different does your day look now than it used to in terms of like time with each patient? Obviously you have your business things you have to do because you're on your own show, know, one man, I'm sure your wife's helping you out, but like, what's your day look like in terms of like how it's different?
Taylor Premer (15:08.78)
Yeah.
Taylor Premer (15:17.518)
Well, and that was one of the other big things is so I've got what's called hemochromatosis. And so, you know, I've had my own functional medicine struggles and what comes along with that is, you know, high cortisol just absolutely wrecks my liver. And so when I was in Troy, I loved the hustle bustle. I mean, I was seeing, you know, at the peak 120 people in a week and grinded. mean, I was there for 45 hours a week at least, you know, that was just seeing patients and I absolutely loved it. But I was
trashed at the end of a week, know, like absolutely trashed. like the weekends, like it was, it was just hard to go home to even focus to have conversations with my wife. And part of that was just overworking. And, uh, but part of it too, was just my functional medicine issues and some of my autoimmunity. And so that was one of the other big things is we, before we started out on this week, my wife and I kind of went on this healing journey of, know, we're, we want to have kids. And so we want to kind of prepare our bodies to be as ready as we can to be able to have kids next year, at least attempt to.
And so we slowed things way down. And so that comes with setting my pricing. My pricing is basically just based on my time and not on my transactions. And so my day to day is much slower. I only work half days right now and I'm seeing a lot more virtual patients too, which is kind fun that I don't have to, it's not as draining with that in-person social interaction, which has kind of been fun. It's definitely way, way different than I would have ever thought I'd be doing stuff, but.
It is kind of fun, but I'm, yeah, I'm still spending about the same amount of time with my patients, 45 minute new patient exams, 30 45 minutes depending on functional medicine or Cairo, and then 15 minute follow-ups. But then I'm also doing a little bit of strength training with the tonal system as well. But yeah, it's just way, way less. And so, you know, there's no, nothing against the model that Bret's built or nothing against those people that take insurance. It was just, I started to realize that I, it was just not going to be sustainable for me long-term.
Like that was the big thing and not only for my health, for my mental health and things like that. And so that's what kind of led me to have to make that decision and to kind of structure it the way we are. And so, you I don't know if you're watching on video, like this is my room, you know, it's nothing special. It's very small. It's 200 square feet, but my overhead is very low. And this allows me to, you know, to kind of be able to say no, if I want to say no, or, you know, only treat the patients that I want to treat without having the constraints of a high overhead.
Taylor Premer (17:40.302)
situation or the constraints of having to pour a bunch of money into the business and things like that.
Beau Beard (17:47.195)
I know we have a lot of students that listen to this and newer docs and on that theme, I hate to kind of give advice on your, cause I don't want to sound like an old man, but one of my biggest pieces of advice from them to throw it out, I think it's become very like dogmatic that like cash is the best way or you should be insurance because you need to make more money as a doctor and why it like, it's a business.
decision, right? You had a personal play in it too. You're like, Hey, I'm going to slow down like that. That is makes it a visit. Like you said, you're like, well, I have to set my price based off that personal decision then, but too often I think it's just dogmatic. It's like, cash is the best way to run a practice. Where are you at? Where's your location? What's your populace? Like, would hope we do like a good assessment of ourselves, our market, and then our practice style. And then be like, does it even, would it work? Like for us, like insurance, like we couldn't charge
Taylor Premer (18:24.942)
Exactly.
Beau Beard (18:36.891)
more technically than we get reimbursed for insurance, makes zero sense for me. It's like, why would I push people out and I'm gonna charge the same amount? Like, now if I didn't wanna see as many people or yeah, I would like up it and you know, make it more elite, but that's not the goal by any means. So I just, anybody that's listening, do a fair assessment rather than just making a decision on what you think's best just because. And I know people are doing that.
Taylor Premer (18:42.126)
Yep.
Taylor Premer (18:58.42)
It's a great, it's a really good point too, Bowen, because I had a lot of people tell me not to go cash in Nebraska because reimbursement is pretty good. But honestly, one of my big factors, just, didn't want to have to learn how to get reimbursed or hire someone to do that. And so that was a big thing. But yeah, exactly, exactly. But in Troy, it was unrealistic for us to be cash. We had to take insurance because the two biggest employers in Troy, Missouri are the school system and Toyota Motors. And so those two people, they
Beau Beard (19:11.057)
to do the game.
Taylor Premer (19:28.214)
are their insurance is part of their package, part of their salary, therefore they want to use it. it's just, yeah, it's such a good point. You know, I'm in Lincoln, Lincoln's, you a couple hundred thousand people. I'm in an affluent area where people, can I treat every single person in Lincoln? No, but that's not the goal either. You know, my goal is to treat 1 % of the people in Lincoln. Like that would be perfect. And so, yeah, having that conversation with yourself and being realistic on what's your expectations, what your cashflow needs to look at.
how much money you have saved up to be able to actually start the thing in general. Like all of those things are very, very important. And I think to your point, social media people maybe drive it down our students throats that they have to have this space and they have to have all these things. And this is the flow that has to be in reality. That's the most beautiful thing with chiropractic is that you can choose your own adventure. And so I was so lucky that I spent my time in Troy and I saw that side of it. And we were traveling all over to see other people's practices. And so,
without me even really knowing it, was almost like A-B testing what I was gonna build long-term, even though that wasn't even part of my, it wasn't even close to part of my brain. But that was such a huge thing. And then I have a really good friend, Jake Alec in Chicago that has a really cool practice style. And so when I made the decision, that was the first thing I did is I booked a flight, me and my wife, and we spent an entire week with Jake, just like.
Beau Beard (20:30.524)
Yeah.
Taylor Premer (20:48.494)
figuring out if we like where he's set up, what can we take from him, what can we take against him. We went to a couple other of friends that have different styles of practices and just spent time with them, just literally sat back and just said, okay, I love this, I don't love this, and so on and so forth. And so to your point, having those expectations in your mind before you dive into it is really, important.
Beau Beard (21:08.445)
Yeah, and I don't want to make this all business, but you know, when I got out, I mean, I was an intern at Bretts and you know, thought I was going to work there until again, the Birmingham breakdown. And then it was like, that's how I largely modeled my practice. Like it worked. Like I saw something that was successful. I didn't have a huge profile of all these practices I'd seen, you know, what I grew up with. And then, you know, there are parts that didn't work here and you know, things that did and things you have to change from the business. mean, treatment's treatment, right? And then how much you can fit in or
Taylor Premer (21:12.888)
Okay.
Taylor Premer (21:16.61)
You
Taylor Premer (21:34.51)
Absolutely.
Beau Beard (21:36.423)
camp based on time or how reallocate it, that's what's gonna really shift it, which that still leads back to, which I wanna kinda zone in on this for a little bit, being clinically competent in my opinion is always going to proceed, well, not always, going to proceed business success because you can get away with it, I get that, but in our realm with the circles we run in, the way that I would assume most people that are listening to this podcast wanna practice, that competency is gonna lead to success.
I think you can approach it two different ways. could say, I'm to go all in on the business and have a product that's basically consumer grade. You're offering the same thing down the road, or you could try to offer a better product, which you still have to market. So my question to you is coming back home, back into Lincoln, are you technical or do you feel like you're offering something that doesn't exist in that marketplace? Are you a standout there or do you feel like you're kind of, there's people that are playing on this level here?
Taylor Premer (22:16.718)
Mm-hmm.
Taylor Premer (22:32.055)
Yeah, I mean Tyler Ideas is literally right down the street from me. And so, you know, he's five minutes away and he's honestly been so amazing. That's one of the best things I can tell anybody. Don't be afraid to reach out to the other chiropractors, PT's in your area because the whole realm of competition, like if you feel like you're in competition with someone, like you need to reframe your mindset because there's so many people that need our help and need our services that competition's just not out there. So yeah, I mean Tyler.
Beau Beard (22:34.408)
yeah. Yeah.
Taylor Premer (22:57.666)
I mean, shoot, the founder of PRI is 10 minutes from me. So Ron Rushka has a clinic right down the street. So there's high, high, high level musculoskeletal care here. And I think it's a fallacy to say that you're gonna be the one standalone. Now, am I confident enough in myself to know that I can stay in those circles? Absolutely, but that's come from years and years of experience. One of the things that I just pride myself too is in something that Brett and I talked about a ton and everybody that we interviewed as well is,
You just have to see things a certain amount of times in order for you to truly understand them. You like you treat how many runners, Bo, the first time you saw like an actual rigidus hallus, like that was like mind blowing for you, right? You're like, my gosh, this is exactly what the book said. But until you actually feel it and treat it, like it's hard to, it's hard to actually fathom that. that's the same thing with it. exactly. Exactly. And that's no different than, know, a, an acute ankle sprain. Like I can treat an acute ankle sprain in my
Beau Beard (23:41.949)
Yeah.
Do I try to change it, try to work around it? Yeah. What are you going to? Yeah.
Taylor Premer (23:56.718)
streams right now. Like I could sleepwalk, but not everybody's seen, you know, a hundred, 150 cute ankle sprains. And so that's the separator. And really it's all just comes from experience. And so, you know, one of the, the advice is that I always give people is you have to, you have to market yourself as something you're not early on, but then once you are that it's so much easier to just like, this is who I am. Like this is what I do. Are we going to be a great fit for every single person? Absolutely not.
But one of the things that I've gotten a good reputation with my patients is just, I'm not a very good liar, period. So I just tell the truth. If something's not going right, I'm the first person to be like, dude, I don't know, man. I've seen this a million times. This is different. Something's not right here. And then if you can earn the respect of just being honest, and maybe your shtick is something different to the students in there, but once you find your shtick, you gotta keep rolling down that hill with it.
And then, you the marketing is easy and that you separate yourself by yourself and not necessarily your treatment. The treatment has to be good, but there's a lot of people that are going to be doing good stuff around you. So don't try to be more than them or anything like that. Just be yourself and then let the treatment speak for itself.
Beau Beard (25:08.413)
No, I couldn't agree with you more. We were actually talking about this in a meeting the other day of the, cause I, I kind of got, cause my wife is like the bedside manner queen. mean, everybody loves her to death. Like again, I always tell people she could literally make them worse and be like, can I book like five more? And you know, I feel like if I like mess up a tiny bit, I'm like, Oh God, they're never going to come see me. But I kind of got a reputation of a little gruff, like I'm going to tell you how it is. And then I realized.
A lot of that upfront was false. Like I just, maybe didn't know. So I was a little like overzealous. I was like, no, this is what we're going to do. This is what's going on. Now I'm less gruff. Cause I'm like, well, no, I'm like, I'm never positive, but I'm like, I'm pretty sure like this is not right. Or this is what we're going to do. Um, like I saw a good example as a guy came in that I saw, I mean, I wish he would have came in and he just didn't fall out, but he came in like two months ago from medial elbow pain. And I was like, we got to rule out some cervical stuff and his left, he had bilateral elbow pain.
Taylor Premer (25:47.982)
Mm-hmm.
Beau Beard (26:02.203)
Left elbow goes away, he comes back and he goes, do my right elbow still bother me? And I go, yeah, it's a tendon issue. goes, I thought it was my neck. go, that's why we were ruling that out, I never saw you again. But like, I could unequivocally then be like, no, it's a tendon. And he goes, how? And you know, I love him, so we have a conversation about it. was like, Bo year one would still be like, God, let's go back to the next thing. And I'm like, no, okay. But like you said, we say fake it till you make it. I'd say, be as honest as you can. Like, if you're gonna have to go look someone up in a book, I would tell them that.
Like, hey, I've got a resource. I'm gonna go check out on this specifically and I'll get back to the next visit. Don't be like, I don't know. And then they can feel it's like a shark, right? They sense that like be open. And I think that's scary for a lot of people when you first start, but that's the honest God truth. And like you said, if you're a bad liar, I mean, they're definitely gonna tell.
Taylor Premer (26:50.316)
Absolutely. Well, it's college football season right now. And what's the number one coach speak that you hear? Doesn't matter if you're a five star or a one star effort is the best thing that you can do. And I think that's the same thing clinically. If you just show up every day and say, I'm going to give every bit ounce of effort. And then to your point, if you don't know, you can just say, listen, I don't a hundred percent know. This is where my brain's taking me. I want you to do this. But then the next visit, I'm going to go do a ton of research. I'm going to call some of my friends. I'm going to, you know, look to the experts.
and then we're gonna come back and then reevaluate. Everybody's gonna be on board for that. Nobody's gonna be like, dude, this guy doesn't know what the heck he's talking about. He's gonna be like, my gosh, but he actually cares. He or she actually cares enough to take the time to do that. People love that, absolutely love that.
Beau Beard (27:33.405)
that's that's part of the plan. Like Kyler Brown, I just talked about communication, like that's part of the plan. So it's part of the plan. Don't hide it behind the Wizard of Oz curtain of like, I'm going to figure it out and then present like I'm the smartest person in the world. No, it's like there's a gap in your knowledge. Well, guess what you forced yourself to fill it. Well, that patient gets better. Maybe that wasn't a perfect it's not as smooth as you wanted it to. But like that's part of learning. And yeah, that you
Taylor Premer (27:54.702)
Absolutely. And the next time that you see a case like that, you're going to be able to have that knowledge.
Beau Beard (27:59.665)
Yeah, and you get you get sneakier with it as you get further into practice, like you don't know and you're just kind of like figuring it out as you go. They never even know that you're stumbling around. You're just kind of trying stuff because you have more tools or more competent in other places. But yeah, you're you're never ever, ever 100 % positive dealing with human. So like that should be a huge off valve of like pressure of like, you're always figuring stuff out. So like, good luck.
Taylor Premer (28:02.252)
Yeah, right.
Taylor Premer (28:11.278)
Absolutely.
Taylor Premer (28:22.361)
I had the opportunity to teach at the R2P summer retreat a couple of weeks ago. And that's one of my big messages is, I have kind of some principles to do with acute care. And one of them is early imaging. And the reason early imaging is because it's so hard. Like, Bo, you've felt enough acute knee injuries. It is impossible to figure out what exactly is going on. You may have a 1 % view, but until you get the MRI, it is so dang hard to diagnose them because it's just...
It is like the pain jumps to places. The acuteness can change things, the swelling and stuff like that. so early imaging for me is an easy way of getting very specific with my assessments because you know, Shacklegoy says that imaging isn't the problem. It's the education off the imaging. And so if you're the one ordering the imaging, then you can control the narrative around that. So then if you have an athlete that you think might have toward their ACL, well, they either toward their ACL or they have something that's not as acute. That's not as serious. Well,
Beau Beard (29:05.69)
set.
Taylor Premer (29:19.362)
Both are better, one's a better option, one's a crappy option, but at least you have both of them ruled out. And then the thing I always say to my students is, what's the first thing they do when they go to orthopedics? Order imaging. So why not just do that? Just control it yourself, and that's what makes you feel like an expert, because you're gonna say, hey, you know what, my experience with working on knees, it's really tough. It's so hard to diagnose them, the orthopedic exams suck, blah, blah.
Beau Beard (29:30.749)
Yep. We're watching. Yeah.
Taylor Premer (29:45.3)
I have a good feeling about this, just to be sure so we don't waste any more time, let's get the MRI. You your insurance will probably cover it. If not, out of pocket now, MRIs here in Lincoln, for example, are like three, 400 bucks. Not a big deal, but at least now we know. And then you can educate off of that. Now you have the plan like you were just saying.
Beau Beard (30:02.531)
we had to kind of implement a much simpler checklist in here because like with R2P becoming popular in the rehab space, just kind of growing in popularity. Like I saw a lot of students and interns coming out and like jumping right to rehab. And it's like, if you were on the sidelines, you know, Troy high school, a Friday night and somebody goes down, there's no way you're going over and doing like a low oblique sit first. You're to be like, Hey, is there an injury or do I need to calm some down? Then you can go do your like fancy, you know, whatever method.
Taylor Premer (30:30.818)
Yep. Yep.
Beau Beard (30:32.029)
you know, choose your poison. Like that's exactly what people need in here for safety and knowing the route and are we working on a tissue or pain or whatever it is. But then on that note, just to kind of an interesting story is, I don't know if you saw like my wife fell down the stairs of the cabin this past weekend, fractured, well, I assumed right away, fractured a rib, you know, and do a physical assessment. I'm like, oh, I'm 99 % sure you fractured a rib. You don't know. Here's a kicker.
we send all our x-rays out, the radiologist didn't even catch it. As soon as I pulled up the image, I'm like, yeah, you could see a fracture. have to call the radiologist and he's like, yeah, sorry, we missed that one. So it goes back to also competency, not just with clinical skills. If you're gonna order images, you can't rely on radiologists. You need to look at them yourselves. You need to either agree or disagree with the radiology report. But like that, I agree with you 100 % and I know you guys preach this too or did it Bret's at least like.
pro athletes and youth athletes. mean, you better be pulling imaging sooner than everybody else because there's more on the line where they can push through. So yeah, I love that point and I hope everybody just kind of, know, sinks in with that one a little bit. stealing a line from, you know, one of our mentors, Brett, you know, he got talking a lot in the last few years about superpowers that were non-clinical. I would...
Taylor Premer (31:32.714)
Absolutely.
Taylor Premer (31:38.254)
Yeah.
Taylor Premer (31:51.33)
Mm-hmm.
Beau Beard (31:53.475)
I have some descriptors of you in a positive manner that I would assume a lot of people would agree with, but if you were labeling non-clinical powers that now you've either had to capitalize or you realized you had in practice before, what are one or two things that you're like, feel like I'm really, really good at this and I have nothing new with the clinical side that is building business acumen and prowess for you?
Taylor Premer (32:15.342)
That's a great question. You always say that's a great question to buy yourself time, right? That's, but no, think early on when I got to Troy, they, everybody in town started calling me Dr. Smiley. And at first I was like, that's such a brutal nickname. But you know, I think finding the positive and finding the good and one of the original books is, you know, kind of really always set with me as happiness advantage by Sean Iacor. And I think that that can apply really good to clinical too, because you know, people are seeing you at their worst.
Beau Beard (32:18.951)
Yeah, gotta think about it.
Taylor Premer (32:44.834)
You know, like you have an athlete that's tore their ACL. Like, you know, it's very easy to say like, man, it sucks. Like, sorry, bud. But instead of like, I just, I'm really, think my superpower is just being there, just showing up for people in the worst moment. Enthusiasm. Yeah.
Beau Beard (32:57.565)
I would say your enthusiasm would be my, like, I think you are, well, you just said you're there, but it's all in because you're enthusiastic about like helping them and learning. Yeah, that would be my take.
Taylor Premer (33:05.582)
Definitely. Yep, absolutely. And even if days that you don't feel enthusiastic, just almost faking it and showing up for people because I think that that's been 100 % shooting people texts, checking up with them, calling patients. Early on, can't tell you, I called every single, I stole it from Mark King, I called every single one of my new patients. Good, bad, otherwise, patients fell off my schedule. And I didn't do that quite as much towards the end just because I didn't have to, but now I'm doing it again.
to get back into it, but I can't tell you how much people appreciate that of just like, my gosh, you gotta be so busy. What are you doing calling me right now? Little things like that I think are good. So I would say yes, enthusiasm and then just, I think seeing things through would be my other thing. Seeing things through the case, no matter if it's going good or bad or.
You know, if your day is going crappy, just sticking it out and gritting it through. I think that that would be another one of my big things as well. But yeah, enthusiasm would be definitely one of them. Anything else that you thought of?
Beau Beard (34:10.385)
Yeah, mean, enthusiasm kind of covers a lot of the things because it's going to have like optimism wrapped around negative experiences, like you said, which I 100 % agree with that. Like you can't, you know, deliver news like Eeyore and expect them to have like a great experience in the office, even though, you know, it might be a season ending career or something like that. I would say the other one is you, you're again, it plays in maybe off clinical competence, but you do explain it like you're a good teacher.
Taylor Premer (34:13.014)
Yeah. Yeah.
Beau Beard (34:36.219)
So like you explain things really well, whether it is to clinicians or to a patient where again, I've never agreed with the talk to a fifth grade level thing. Like you talk at a level that everybody can appreciate, but it's kind of the, you know, it's not too far off from, you know, either field. So I think that's something I've like noticed about you is you just kind of explain things really well, regardless of the party in front of you.
Taylor Premer (34:36.45)
Mm-hmm. Yeah.
Taylor Premer (34:55.182)
It's funny too, you know growing up in the town that I grew up in with 30 people I was this class president I was National Honor Society president, you know I just got thrust into all these leadership roles and I could never figure it out But it was literally was just the fact that I could talk to people You know if I would I just I grew up my dad owned a body shop My grandpa owned a vet clinic and they were you know, a hundred yards apart from each other And so that's all I did all day long. That was my life is going back and forth and listening, you know
talking to farmers and talking to people. And I just learned from an early age how to have a conversation with someone and to connect with them relatively quickly. And so I think that that is something that's kind of lost on the younger generation, which is crazy to say that I'm saying it's the younger generation. I can't tell you how many times just picking up a phone and calling someone is, it's just blasphemy nowadays. But I think that ability to maybe get into uncomfortable positions is...
is a good one too, but yeah, I love to teach and I find myself telling stories all day long and just like drawing on past experiences and things like that. Even though my memory is terrible, I can't remember people's names, I can't remember numbers, but for some reason I can remember cases and I can remember things with my hands. And so it's just a weird, I don't know, I have a weird brain. I'm sure you're kind of along the same lines of that of just like.
Beau Beard (36:09.085)
I have like a literally photographic memory of cases. Like I can literally somebody will start talking about a case from 10 years ago and then I'll literally tell you like the whole case. We slowly just made fun of the other day because somebody came in and they're like, no, I came in because this guy always comes into the UPS store and he always remembers my name and so long goes on. And she was like, let's go to our other doctors. It's like, that's not me. Like it's not. Yeah.
Taylor Premer (36:27.502)
Yeah.
Yeah, yeah, you got to know your your limitations too. Yeah, absolutely. That's what I tell people too. Like I I promise you I will remember everything about you except for your name. Like that is just 100%. I will never remember your kids names over your name, which is just
Beau Beard (36:43.261)
Not great for seeing somebody in the grocery store, but hey, that's what they're paying you for, so that's what matters. Well, again, parlaying the clinical expertise in a business, now you're in business for yourself, and you were in business for yourself. Again, Gestalt was kind of business inside a business. I guess my first question is, do you enjoy aspects of the business side of things? I mean, that's something that some people hate, right, to despise it, and then that doesn't lead to success, but are there things that you like?
Taylor Premer (36:47.02)
That's exactly right. So yeah.
Taylor Premer (37:11.244)
Yeah, think one of the things I love is I love the the difficultness of it being your own. I love the making those difficult decisions and having it come back on you. know, and that was one of the things Brett and I, we were very closely aligned.
He was literally my best friend, still is, but we were a little bit different when it came to the business side of it. I had some different opinions, I had some different ideas, but at the end of the day, it was his thing, his business. so I just was okay with that, that's fine. I can give my opinion, but at the end of the day, it's his decision. Now, those opinions are my own, but then the decisions are mine too. And so I think I really enjoyed that aspect of it, of diving into...
How do we set our pricing? How do we set the messaging? How do I tell people what I do? Where are my most ideal clients? Like all those little things are difficult conversations or difficult thoughts. But I think at the end of the day, I still enjoy that difficultness. The things that I don't love, thank God I have my wife, our social media and the website and marketing outside of in-person things, the operations and stuff like that. Like that's just not, I'm just not a very.
operations based person, Mark would hate me, like hate my, Mark would hate my thoughts and stuff like that just because it's nonlinear and it's kind of out there all around and stuff like that. And so that gets me into trouble a little bit, but thank goodness I have my wife that manages my calendar and stuff like that for me. yeah. What about you? What about you, Beau? Like, you've evolved your business to the point. How long have you had the farm?
Beau Beard (38:46.062)
That's good to know.
Beau Beard (38:52.39)
yeah, we're in 13 years, 14 in next February. So yeah, you know.
Taylor Premer (38:55.042)
Yeah. Has that changed maybe like how you're beginning to now where you're kind of what you're you're dealing with in the business?
Beau Beard (39:03.101)
Oh, yeah, especially. mean, just this last year we had probably the biggest shakeups we ever had. you know, it started Sloan and I, for those who don't know, kind of give us short rundown. Started Sloan and I, which honestly, there have been numerous times over the past two years where we're like, God, it was kind of nice when it was just me and you. Right. And we always had Bridget. She was like our OG front desk. Lover to dash. She's still with us. It was just kind of nice. It was simple. So Kyler Brown also said he goes, I had you, you know, we ran a business. We had one job.
Taylor Premer (39:22.478)
Mm-hmm.
Beau Beard (39:31.143)
you show up and saw patients and it was just such a small show that you're like, yeah, you got to do some business stuff. But like we were lucky that we had a lot of outside marketing. We were just involved and it worked right. You were good and here we go. Yeah, at this phase, so this year, you know, we lost a clinician in a kind of a short timeframe, who was a big earner for us that shook it up. And then we had two younger clinicians that obviously are there to fill in, but then that's, you know, there's a fall off and a build up. My wife, we have two kids, my wife's
Taylor Premer (39:31.406)
Mm-hmm.
Beau Beard (39:58.653)
drastically reduced in the amount of people she can see and she was a huge part of the practice both from treatment but also just the vibe like literally she's in here more now that both the kids are back in school it's different and like I know we both know that and I've told her that I was like you are an integral part of this but yeah one of the biggest shifts I mean I'll be you know open kimono here in the past three months I always used to toot my horn like oh we didn't really spend money on marketing it's all that's had to change like we have literally I'm like we have a bigger clinic we have more
Taylor Premer (40:05.038)
It is good.
Beau Beard (40:28.637)
clinicians, like we've spent the most money on ads we've ever done. We're trying to take over this little community in terms of just like, we're the person for, you know, the town of Chelsea. It's like 10,000 people. and then I've just had to like turn my marketing back on from like year one. It's like, okay, we're going to go. And then I've also kind of become, I had been joking that my new company is going to be Rambo SEO. Like I'm some commando of the SEO realm. Like I've just had to do a lot of things I wasn't doing to
drum up business. So yeah, it's, I've had to become tactical and logistical, which I do like to a certain extent, because I kind of like projects and missions. But then I have a, when I'm done with that mission, I'm done, man, like I want to hand it off or be done. So I have a timeframe for this stuff. But yeah, it's different. And the clinical competency and learning is just that's that's me. That's never going to change. Like I like that stuff. But like, I have to be sure that like, I don't get like, too overwhelmed with business. And then all of sudden, I'll get frustrated and be like, Hey, I'm not
Taylor Premer (41:07.032)
Taylor Premer (41:10.488)
Yeah.
Taylor Premer (41:18.734)
Yeah.
Beau Beard (41:28.213)
able to do the stuff I want to do in that realm or teach or write or whatever. Yeah. Yeah. And I'm like you, I, I, you would think I'm operationally minded from all the stuff I just said, I'm really not like I'm very creatively minded. I'm kind of more when we've done culture indexes, like I'm way more the emotional, which you would think it's my wife is no, it's me. I'm like this, like I'm led by like how I feel and all these things I want to happen rather than like this needs to happen, which it's good. have a Sloan.
Taylor Premer (41:30.254)
Or your brain just gets scattered.
Taylor Premer (41:55.726)
Yeah.
Beau Beard (41:57.533)
Yeah, it's just changed. And you know, it's it's good and bad, but you have to learn then it also makes you overly aware of what you don't want to do the further you get into practice. Like I have to get somebody to do this. Or this is just something we don't do here. Like we're we're gonna grow. This is our cat. This is our reality. Because I have big plans. But like some of those plans have literally changed. I'm like, I never want to do that ever. And I thought that's the way I was gonna go. And you're like, Nope. Yeah.
Taylor Premer (42:10.99)
Mm-hmm.
Taylor Premer (42:22.848)
It's such important lessons. I learned that the whole time through in Troy too. I mean, when I first started, did, I was the only person marketing in person. So I was doing Rotary, Chamber, Qantas. You know, I was doing races. I was going to the high school. was doing all the social media, email, all that kind of stuff. And I wrote like, I only lasted probably eight months of doing all of that stuff before I realized the same thing. Like, I'm just marketing for everybody. But that's when I kind of honed down on the high school. But
It is crazy how much marketing has changed. luckily my wife is up on it and that's kind of what she, the world that she lives in. But I mean, it is different to your point, SEO is my goodness. I mean, it is, that's an entirely separate marketing department, just that. So yeah, that's cool. That's cool to hear.
Beau Beard (43:09.359)
And for again, those students and clinicians like listening, here's my tip on that AI is big, but I'm telling you right now, if everybody's doing the same thing, you have to literally put on your creative thinking hat and be like, okay, if everybody has the same tools, what are you going to do different? And that's what I've had to realize. And you have to get creative and that you can't just be like, I'm going to hire the same SEO company then if in the same area, right? If you hire a national one, but you know, good luck paying that much money. But creativity also can save you money.
And I always tell people whether it's your accounting, the finances of the business, SEO website, like do you need to, in my opinion, do a little bit of all of that upfront to learn enough to a, not get the wool pulled over your eyes by somebody from whether that's pricing or whatever, but also just to know enough to like have a checks and balances, right? And if you get big enough, that goes away, but you hire people to be the checks and balances at that point when you can afford it. But that's something we've got burned as every business person does by just not knowing what we didn't know. So that's.
Taylor Premer (44:05.368)
Yep. Yep.
Beau Beard (44:06.523)
Learn enough, be competent, but don't become the captain of that thing and then hand it off. So that's another just tidbit there. Okay, so you're a couple months into practice. You know, I it going in June. First of all, how's it going?
Taylor Premer (44:11.819)
Absolutely.
Love it.
Taylor Premer (44:21.305)
Yeah, good, good. I've been telling everybody's been asking me that. I think we're exactly where I thought we'd be at this point, which is a good thing. We purposely grew slow and we're still purposely growing slow. We're lucky we have a little bit of a safety net. We're living with my parents right now. So they have a separate house next to their house. And so that's a huge burden to not have to worry about a mortgage or rent.
and stuff like that, and with my low overhead. And so, yeah, we're just growing organically is how I would say it. Like we're doing a lot on social media, but as you know, social media does not get you any patients. That's just the reality. It's just good for people to be able to look you up and stuff like that. But yeah, it's been good. I've done a lot more, like I said, lot more virtual stuff than I thought I would ever do. But it's actually a lot of fun. And the functional medicine stuff is a blast because it forces me to learn new things.
I'd say even more than musculoskeletal stuff, everybody is different. You want to talk about N of one, everybody's autoimmune thyroiditis is just a little bit different. Everybody's autoimmune disorders or everybody's gut dysfunction, everything is just very personalized. And so that takes a lot more time and brain energy to really dive in. And so I'm doing a lot more outside of my patient hours than I ever have, but I'm actually really enjoying that. And so...
Yeah, I think we're exactly where I thought we'd be at this point. yeah, we're looking to continue to grow. But at the same point, we're just kind of enjoying the slowness of life right now and doing some healing on our ends, which is really good.
Beau Beard (45:54.523)
Yeah. Well, I know, you know, part of moving to Nebraska, you know, is doing your own thing. And then as you kind of grow, you know, clinically and business wise, like whether that's legitimate capital from money you've made or opportunities and networks you've built, you do other things sometimes. I know you mentioned Jake Alec. I know you guys are, have taught at least one seminar on kind of a new concept. So just tell me a little bit about that. Cause that's something, you know, different outside that's kind of come about in the last few months as well.
Taylor Premer (46:23.31)
Yeah, it's kind of funny. You know, we had a great gym in Troy, but anybody that owns a gym know that, especially when it's connected to a practice, gyms don't make a lot of money, right? Like, that's just reality. Like, it's just hard. You probably know that, right? Yeah. So, you know, when I went to visit Jake on that first visit to kind of like, hey, you know, are we going to model it somewhere after this? And honestly, I had no, I didn't even care about the gym. The gym was, I was, I went there telling my wife, there is no way
Beau Beard (46:36.957)
Yeah.
Taylor Premer (46:53.112)
Possible that I'm putting the gym anywhere near my office just period like I just I don't trust it I don't it doesn't make any money. It's a time suck blah blah blah and I took one step into a space and was like my god I have to put a gym up, know, like that was literally that that that specific and so we've partnered with tonal which is this device right here and so for those that know about tonal it's it's a digital resistance device and so the way I kind of say it is it basically takes takes care of everything that you would put in a regular gym and
whether that's a cable machine, dumbbells, kettlebells, racks, and it's all built into the wall right there. And so, you know, in my little space, I now have a gym area in my clinic that is just an air bike and my tunnel. And so the tunnel can go up to 300 pounds of resistance. You can do resistance in all planes of motion. And it's been pretty amazing. And so, you know, I spent that week with Jake and I took a bunch of the classes in his group fitness class, but then he also has a tunnel in his treatment room. And what really got me excited is the applications of
strength with clinical. And so, you I think especially, you know, to pick on the R2P people, load is always the fix, right? Until it's not the fix, right? So understanding when and where to add load is difficult to do with traditional dumbbells, bands, kettlebells, things like that. And so the nice thing with the tonal is that you can set it up into any direction, any resistance. You can do eccentric loading, you can do isometrics, you can do concentric, you can do chains mode horizontally.
I mean, as much as your heart desires, you can do it on there. And so, you know, one of the things I really struggled with, especially in Troy is there'd be a lot of patients that I would want to load, but I didn't necessarily trust where that load is coming from, whether that'd been the trainer, our interns, a barbell, a kettlebell, things like that. Like it was just hard to trust it. Maybe that's just my own little insecurity as far as, you know, blowing up a case up, but I didn't necessarily trust it. And so once I started playing around with these different things, it was really eye-opening to me the amount of times where, you know,
The other cool thing with this to get to my next point is that you can go from five pounds up to 300 but in one pound increments. And so I can't say how many times that I've tried to load a patient with a, you know, I had a 25 pound dumbbell but I really needed probably like a 24 pound dumbbell or it was just a little bit too much. Maybe it's not that exact, but you get the point. And so to be able to kind of tier the weight specifically for that person is amazing. And you know, it's got AI built into it. So you do an assessment that includes four movements and then it'll pick the weight for you for every single movement that
Beau Beard (49:04.135)
Right.
Taylor Premer (49:18.982)
that's in there. So all 300 different movements. And so, yeah, we kind of joined forces with him and Tonal came out to his place and I went out there and kind of met with them. And the back end engineering is unbelievable. And I some really cool people that are literally, I think, changing the world of strength training. I truly kind of believe that strength training from an aging perspective will be done on the Tonal in the next 10 years and not on dumbbells and stuff like that. so, especially the more I'm diving into this functional medicine,
the number one predictor of longevity is just muscle mass in general, right? Strength, grip strength, muscle mass and things like that. And so to be able to have an opportunity for people that maybe don't want to walk into a big box gym or do CrossFit or anything like that, to have a little bit more of a less of a, you know, activation energy to get working out has been amazing. And the story I've been telling is my parents, they're pretty healthy. You know, my dad's had some blood sugar issues and type two diabetes, but pretty healthy otherwise.
have never worked out in their lives. And the minute I opened up my practice, I put my tunnel in, I asked them if they wanted to start working out and they said, sure, which surprised me already. And so they've been working out with me eight weeks now, every single week, they haven't missed a time. And so that's been amazing for me to see, not only to see them getting stronger, but knowing that their longevity is going to be better for it. And so it's been a really cool ride and yeah, it's P2P pathway or pain to performance pathway. We're to have another seminar in November. And actually one of my good friends, Nolan,
Colson up in Elkhorn, Nebraska, which is just 45 minutes north of Lincoln, is building a gym similar to what Jake's doing. And so that's kind of my big vision. And one of the things I told the RTP guys when I was at the seminar is my vision is to build a gym similar to what Jake's got. And so we'll see long term what that looks like and how many years it takes me to kind of get the capital to able to do that. But yeah, that's kind of long term long term plan is to be able to have a clinic, but then have my own kind of small group fitness training sessions.
and an area that actually makes money, which takes me to my next point is I saw Jake's Behind the End books of kind what the financials look like in his model. And I said, that wouldn't be bad to have an extra, you know, $10,000 laying around because of my gym space. so, so anyway, that was a long winded story to say that, yeah, strength is
Beau Beard (51:22.525)
You
Beau Beard (51:29.361)
No, it's all good.
Taylor Premer (51:31.522)
That's why performance got added to my name. It was just gonna be Primer Health until we saw that space and I said, yeah, I think that this is something I need. So it's really cool if you guys check it out, go to, honestly, just go check out Jake's website, Alec Payne of Performance. He's doing some unbelievable things and it's really kind of opened my eyes to maybe a different side of chiropractic than, again, I even thought I would ever venture down.
Beau Beard (51:43.317)
yeah.
Beau Beard (51:54.877)
Yeah, I get a little clinic envy sometimes when I see the space. like, I'm, I'm a very, uh, aesthetically driven person. So like, see stuff that looks good, like Jake stuff. I'm like, Oh God. And like, yeah, he's, you can tell he's got a little, I dunno, design I or something or whoever's helping him out. It's doing awesome.
Taylor Premer (52:02.36)
Mm.
Taylor Premer (52:12.302)
I know well in the space is it's in an old trolley barn and so it's got the original wood floors and it's just beautiful It's absolutely gorgeous, but but it is cool The device is on the wall make it look a little bit bougie er and you know doesn't look like an old dusty dirty gym, which is what I always say, you know, he's got the scent right in there He's got the music perfect and stuff like that And so it doesn't feel like you're walking into a global gym It feels like you're walking into a bougie space, which is why he charges the premium and so it's really cool. They've shown
Beau Beard (52:16.113)
Yeah, it's just cool. Yeah.
Beau Beard (52:39.069)
Yep.
Taylor Premer (52:41.838)
He's had people working out since November and they've been having 5 % increase in muscle every single month. So an increase in 5 % every single month, people working out, which is unbelievable.
Beau Beard (52:53.799)
Well, that's, I, maybe it'll come down the road, but I'm sure you've heard of like osteo strong, these little, you know, one minute isometric holds. And I think they go around to four stations, leg press, hack squat, whatever. don't know. But like tonal would be a much better option because I spoke with the woman the other day, there was a patient and she's amazing and went in there for osteopenia and it, you know, it regressed or progressed out of that, but she's still going. And I was like,
but you're still doing the same weights and the same amount of time, the same amount of times a week. And she goes, yeah, it's covered by insurance. go, Hey, I love that you're doing something, I go diminishing returns like that. It's not doing anything for it. And it probably will kind of start to have a counter effect. That's going to, you're going to go back to osteopenia. She was like, really? I was like, yeah. Like, so tone will be great. Like you said, like it kind of never ends at least, you know, up to 300 and multiple movements.
Taylor Premer (53:28.302)
you.
Taylor Premer (53:35.982)
I'm
Taylor Premer (53:39.896)
Yeah. Well, that's the cool thing too, is like there's progressive overload built into it. So you never have to do that. So to your point, I can't tell you how many people walk into the gym and they do the same thing over and over and over again, but if you don't progressively overload, then you're not getting adaptation. So the line that we always use is people stop going to the gym either for two reasons. One, they don't do enough weight and then they don't see the changes or two, they do too much weight and they get hurt and they're back in our office. And so,
you know that the total kind of changes that for us to be able to one progressively overload people in a consistent manner so that the weight isn't too much but it's enough that they're getting actual adaptation and changes. So and for a pretty cheap price tag to put one these in your house it's $5,000 which seems a little bit expensive but Bo you have gym equipment you know how much that is.
Beau Beard (54:30.333)
When I was going to say we were just thinking about putting like a DPS machine, like cable machine in our PT area, but like for space saving. basically that's what that is plus a million times more. like, I even see that and the price point on those isn't that far off at all. If not probably, you know, comparable. yeah, it could, it's something I might play around with. So I might need to talk to you off here about that. So you said, okay.
Taylor Premer (54:49.72)
Yep. Absolutely. Yeah, absolutely.
Beau Beard (54:54.377)
You know, you are in one of, arguably, one of the best musculoskeletal clinics in the country, if not, you know, greater part of the world, which still had functional medicine at play, multiple different types of practitioners, and it would come in and out during your time there. And now you're in your own space with more of an executive, lean, you know, functional medicine is at the forefront. Obviously, there's still a strong musculoskeletal component. The gym is kind of going to make maybe a late entry or more of an entry.
Taylor Premer (55:21.634)
Yep.
Beau Beard (55:23.611)
Is there anything else that you think is missing from your own clinic or is missing from people's clinics in general? And maybe that's something you're doing and you're like, yeah, think more people do this. Or you're like, if I can get this, whether it's a skill that you will provide, another professional, a technology, is there something you're like, I think this is a key to having a clinic and it's just not available to you, whether it's capital or time or whatever.
Taylor Premer (55:49.656)
Yeah, I think one of the things that Brett did really good is he brought in a nurse practitioner and a medical doctor. And that literally changed the way I practice right then and there because, you know, having the ability to have someone that has prescriptive rights is very important, I think, going forward. You know, when you're dealing with thyroid disease, to be able to change people's prescriptions, to have an oral steroid for a person that's in a really, really cute flare, you know, for a short period of time, to...
have IV therapy, have access to peptides, things like that. I think that that's the next phase of a lot of this musculoskeletal care. I think that the jury is still out on peptides, whether that's BPC-157 or samoralin or all these other peptides, the question marks are out there and I am questioning them myself. But I think having access to good ones is the next phase. And so we actually just started, we did a, we're doing a trial with a
called LEMD. I don't know if you've ever heard of it. ELLIE, but they have access to some amazing peptides and they seem to be sourced from really high standards. And so that's the next kind of, you know, iteration that I'm going to kind of start going down to help deal with hormone disorders and things like that would be having access to peptides, IV therapy and stuff like that. So that's kind of the other thing that's kind of hanging out there that I haven't
I haven't quite conceptualized of where it will fit in, but having access to a primary care that has prescriptive rights, I think is the next iteration to get people off of medications, put them on, stuff like that.
Beau Beard (57:25.725)
I mean, anybody that's been in practice knows it's a struggle. mean, Medicare creates its own problems with ability to order imaging or if you need something, it's a giant process. like you said, I mean, there are numerous cases where we sometimes, yeah, you're going to use an or like a steroid pack. Yeah, therapeutically, sometimes diagnostically, you're like, if I get a massive effect, I know there's a huge inflammatory component that maybe sometimes it's hard to suss out and you're like, okay, we got to calm down. Now we're going to use, you know, the movement side to really like keep it there.
Taylor Premer (57:33.666)
Absolutely.
Taylor Premer (57:56.014)
Absolutely.
Beau Beard (57:56.133)
Yeah, the accessibility is huge because sometimes, I mean, you hate that this happens, but it's just the nature of the beast. You send people out for these things and they go off into a higher level intervention, whether that's surgery or an injection or they're dancing around with no pain because of steroid pack and they don't see a necessity for you. And the loci of control is always nice if it's in your office, it's just expedient too. we've even, you
Taylor Premer (58:08.619)
opioids.
Beau Beard (58:20.847)
I was just talking about x-ray. We looked at a digital imaging or x-ray unit that's also mobile for events just because I was like, we're doing as good a job as these radiologists are reading them. And if we can, A, yeah, make a little money, but also not have to wait to get the image back to determine a treatment or just somebody can come in on a Saturday after a football game. Like, so there's things that I maybe I wasn't opposed to, but I didn't think I'd ever do. And I'm like, I'm kind of changing my mind. And we kind of started the whole podcast on the ability to be malleable.
Taylor Premer (58:45.678)
Absolutely.
Taylor Premer (58:50.712)
Yeah.
Beau Beard (58:50.909)
I think that's a big deal is like, like you said, like peptides are getting a lot of hype. Are they good or not? I don't know. Like put your thinking cap on, practice a bit, read up. Like, I don't know, you know, I would say yes, we're in Alabama. Alabama is a super strict. So I don't have accessibility like other States, but there are, mean, I've tried them. We've had patients try them and yeah, like I said, the sourcing is key right now. Yeah.
Taylor Premer (59:12.846)
I know, it's just like anything. But it's also the Wild Wild West, know, like where do you go and stuff like that. And the other thing too, people always ask me like, how do you know which supplement works? Like, well, you gotta do it on yourself. You know, like it's just trial and error. Like that sucks to say for our patients, but it's no different than our musculoskeletal care. sometimes you just have to take leaves of faith and you're trial and erroring with your patients. And sometimes it works out, sometimes it doesn't, but you have to have some sort of, you know.
blackboard if you will or some sort of thing that you can throw things against and see if they stick in order for it to work and I think that that covers everything whether it's life or you functional medicine MSK care and stuff like that.
Beau Beard (59:46.045)
Yeah.
Yeah, if I had a crystal ball, I mean, I would not be talking to you, I'd be on my yacht, right? And that's where like running the experiment of what supplement, what treatment, what is actually going on. mean, yeah, I, like I said, the ultimate like, uh, absolutism, if you, if you go to a practitioner that's like, yeah, that's what you got to sort of do on day one. And there's no like, like talk of like optionalities. I would be like, I'm not saying they're not good, but like, I would just be a little like, you know, put my coffers up.
Taylor Premer (59:58.03)
Right.
Taylor Premer (01:00:13.804)
Yeah, yeah.
Taylor Premer (01:00:19.254)
Absolutely. Absolutely.
Beau Beard (01:00:19.777)
Um, well, I love that you're doing your own thing. mean, you are, you know, wizard in many realms. I'm a excited to see what happens in Lincoln out of that 200 square foot space and whether it's just blowing it up and making it, you know, um, we all Jason glass, I don't know if you know the strength coach heavily involved. He always said that he had the highest per dollar square footage office in America or in the, uh, North America. Cause he had like 300 square feet. And he's like, I think I'm making more money per square foot than anybody in any realm.
Taylor Premer (01:00:22.774)
if you are.
Beau Beard (01:00:48.733)
So maybe that's you, maybe you'll take them down. But outside of that, is there anything, so we talked about what you would maybe add into the clinic or conceptualize to make it just like world, world class. Is there anything else that you like are looking at doing? You had this time of stillness, had this, know, acute scenario in the hospital. Is there anything else that came to the forefront or mind besides, I know you mentioned kids, but anything else, whether it's professionally or outside of the profession, you're like, hey, I have some other things. And if you want to talk about them or not, I mean, what do you got?
Taylor Premer (01:00:52.014)
We'll see.
Taylor Premer (01:01:19.374)
Yeah, I think I just learned the lesson that our careers are important. Obviously, Bo, you're the standard as far as your career is very important to you. Both of us, we want to push the profession forward. We want to see what's possible. But also, I think you would probably agree that your family and your kids are probably the most important thing. And so I think the refocus for me on that is that this space, Premier Health and Performance, it could go away tomorrow and I would still be OK.
Beau Beard (01:01:47.889)
Mm-hmm.
Taylor Premer (01:01:48.28)
doesn't mean that I'm not gonna try as much and I'm not gonna pour everything I have into this place. It's just at the same time, it's just refocusing on what's important in my life. And for me right now, like my family is what my at the forefront. So I'm excited to be able to, you know, kind of stay put a little bit, not travel as much and kind of pour into them and see what's possible for my own family. know, we all have family members that are dealing with things. And so to be able to be there to help with that side of stuff, I think is really at the forefront of my mind right now.
I'm still gonna push like crazy and try to build this place to you know, unbelievable heights, but You know at same time I'm more focused on Making sure that I'm in a good spot making sure my family's in a good spot and things like that And so yeah I think that that's that's really the focus and that was the focus of me making the change is to be able to have a space that I can I can you know, go to my nephews and nieces soccer games and I can You know go to coach my kids
T-ball team if I want to or go play golf with my family or do things like that that maybe doesn't restrict me to the practice. And again, there's no ill feelings between me and Brett. It's just kind of, you know, I think everybody hits that point in their life where they realize, you know, what the most important thing is. And for me, it's that. And so that's my crusade right now. And, you know, other than that, I'm just excited to be home and, you know, teaching a couple of seminars with a good friend of mine, Jake, and then we'll be in.
Parker Vegas next year with Tonal, which will be fun. We'll do that again. so, yeah, we'll just kind of slowly but surely kind of add on and hopefully teach a little bit more maybe. But at end of the day, stay focused on what's important.
Beau Beard (01:03:24.411)
funny thing and I know you know this but just to kind of hit it home as we sign off here in a funny way when you put the most important things first like other stuff tends to grow organically and I think a lot of times especially nowadays because of hustle culture do everything you can and I've been a victim I don't say victim I've played into that at times and I still do and I'm gonna be you know susceptible to that just because that's kind of how I'm wired but when you reorganize in a funny way like what I've kind of realized is
Taylor Premer (01:03:43.714)
Yeah.
Beau Beard (01:03:54.767)
If I sat down, you know, and whether it's for me, it's like sitting down and writing out thoughts and kind of thinking about stuff. It does come back to why are you doing all this stuff in the first place? Right? Like if you want to build this thing, you know, and it's not just about making money. It's about that patient experience and accessibility, great care, you know, having good experiences. It's not, used to, I'm going to be honest. I used to think I want to be the smartest person in room, which is such a ego driven, stupid. It's impossible. It's an impossible task. First of all, which is insane thing.
Taylor Premer (01:04:17.518)
Same. Been there. And toxic.
Beau Beard (01:04:23.751)
But then I realized, well, that doesn't serve anybody and it's just gonna drive me insane. And it probably makes other people like, you know, not like me, cause I want, that's my goal. Like that's my driver. But then I realized, I'm doing this now because I want to provide a really good life for my kids. And then it honestly, the epicenter of that for me now is I always tell it like, I tell my girls this now I'm like, I want to be able to kick your ass in like a 5k when you're actually, if you run in high school, don't, whatever they want to do.
but I wanna be able to kick their ass and it's not that it's like, I have to do things for myself now to make sure that is a possibility later and I can lead by example. If I do that, I help my patients by leading an example. I have more energy for my practice if I do that. So it's like, if you can get down to like distill it down to like why are you doing this thing and what is the key? Me being healthy won't make me any more money. But in a sneaky way, it kinda does. And then I can like ripple effect that. And that's what I'd realize like, okay.
I kind of know what I want to do every day. I want to be the best version of me that I can be, learn as much as can without driving myself crazy and then provide the best care I can and like that will have a ripple effect everywhere and it's not this like maniacal read every article and just is different for me. So.
Taylor Premer (01:05:32.908)
Yeah, it is. Well, and I think that that's a, that's a good point too. And one of the, one of the realizations that I, I kind of hit too was like, you know, I was building a business for Brett, which is awesome. I love my time there, but at the same time, you know, I left and now I left with nothing, which is just the reality of being an associate. that's absolutely, absolutely, absolutely. but you know, and then, you know, there were times in my career where I thought, man, I really needed to be making more money.
Beau Beard (01:05:52.785)
besides experience and yeah, yeah, yeah, yeah.
Taylor Premer (01:06:03.048)
I need to make a little bit more money so we can have these other things. And really what I was saying without saying is I need more time for the things. that's at the end of the day, that's what I've started to realize too is like I've made this decision to buy more time. Hopefully I will make more money eventually and all the things that you just said, but also I just need to put myself in a position so I have more time. Like that's the one unrenewable resource that we have in life. And so...
Beau Beard (01:06:11.195)
Yeah.
Taylor Premer (01:06:31.339)
to position yourself to be able to have time to do the things that you want, I think is the most important thing in life.
Beau Beard (01:06:37.629)
That's I'm hearing the voice of Mark King say it all leads back to processes if you your time back. So then we're going to end up right back there. uh, well, hey, man, like I said, I genuinely, I'm excited to see what you do. And like, I know, you know, just cause you're a good person and you're like the circles you're on in, like, you're going to always be involved in different stuff and grow different aspects of not just the business, but hopefully family here pretty soon and a different venture. So I'm sure we'll have you on sometime soon, but hopefully I see you.
Taylor Premer (01:06:42.254)
I love it.
Beau Beard (01:07:06.365)
person since been a while, sometime soon as well. But I keep it up, keep in touch and yeah, keep killing it man. Appreciate it.
Taylor Premer (01:07:07.214)
Definitely. Yeah, definitely.
Taylor Premer (01:07:12.686)
Appreciate that, Beau. Hey, thanks. I appreciate everything you do, man. Keep crushing the podcast. yeah, it was awesome to get to hang out with a couple of your associates at the RTP weekend. So you're doing good things, man. Keep it up. All right. See ya.
Beau Beard (01:07:24.605)
Thanks, man. Appreciate it.
