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Issue 13 - October 2003
Homeopathy and nutrition enrich
Dr. Gary Snyder's practice
By Todd Stumpf
Homeopathy isn't a household word. In fact, it wasn't even a word in the dictionary until just a few years ago. But it's catching on in this country. Eventually it will make its way into the Yellow Pages (it already has in some places) and, perhaps one day, into the average healthcare consumer's mind.
For Gary S. Snyder, DC, DNBHE, homeopathy is the word. Well, one of them, at least. Nutrition is the “other” word. And as a chiropractor specializing in nutrition and homeopathy for more than a quarter-century and certified by the National Board of Homeopathic Examiners, Synder has built the Alternative Medicine Center into a $500,000, all-cash practice in
Fort Lauderdale, Fla.
Succeeding in the areas of nutrition and homeopathy meant more than helping patients learn a new vocabulary. For Snyder it meant committing to the disciplines as a way of life. That, in turn, meant lots and lots of education — first for himself, then for his patients.
“We’re in the Information Age,” says Snyder, who sees 75 patients per week and about 25 new patients each month. “Ten years ago the Yellow Pages didn’t even have a classification for homeopathy. But within the past few years it has appeared, just because there is more of a public awareness about it. They’re hearing it more, reading about it, finding things on the Internet.
“Not that it’s a household word yet, certainly, but there’s awareness of homeopathy and homeopathic remedies. Every health food store — or just about every health food store — in a major market has homeopathic remedies. So [people] are getting educated that way. They’re starting to look. They want to find a doctor that is not only certified, but who practices homeopathy.”
Getting the word out
In his neck of the woods, such patients are common. South Florida, says Snyder, is a “melting pot, kind of a transient area.” People from all parts of the country and world migrate there. Patients from other countries, upon arriving in the United States, were surprised to find they had to strain while looking for someone who practiced homeopathy.
“In most other countries, homeopathy is practiced by your regular MD,” Snyder explains. “I get patients who come in and are amazed that they had to search forever. In fact, that’s one of the reasons I started advertising in the Yellow Pages under nutrition and under homeopathy. Patients were coming in saying, ‘I would have been in here five years ago, but I had to hear about you by word of mouth. Why aren’t you in the Yellow Pages?’ And eventually I said, ‘Why aren’t I in the Yellow Pages?’ I tried an ad and it did pretty well for me.”
Snyder now advertises in the telephone book under both homeopathy and nutritionists. It’s part of a marketing strategy that focuses more on referrals and word of mouth than anything else. He spends about $6,500 annually on marketing and advertising. This includes $374 a month for a Yellow Pages ad, along with $1,500 a year for mailings and $500 a year for brochures and miscellaneous items.
With 28 years as a practitioner, 15 in his current locale, Snyder does lectures in the community for various civic groups, along with occasional health fairs and keeps his traditional advertising to a minimum. Referrals from MDs, other DCs, patients and other professionals keep business coming his way.
One way to lure nutrition/ homeopathy patients is to find them in places they frequent, namely health food stores. Snyder gives lectures at area health food establishments and routinely leaves business cards and brochures there.
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The evolution of the practice
When it came to dealing with the supplemental side of his practice, it took Snyder about a year to figure out the exact direction he needed to go. And over time he learned to refine his methods and look more closely at what he was telling patients to do for their ailments.
“When I first started to practice, I would make recommendations and send people out to the health food stores,” he recalls. “I had so many problems with that, so many complaints and reactions to formulas, that that’s when I started really learning about how products are formulated.”
He looked into the materials that went into different products and processing methods. When a patient was having trouble with a suppressed immune system and began having more problems after Snyder preached a regimen of Vitamin C, he began to look at things under a microscope — literally, only he let someone else do the looking.
Analysis of the particular Vitamin C product the patient was using revealed that among the fillers in the product was talcum powder. It was exacerbating the patient’s problems instead of relieving them. It was then that Snyder started looking at things more closely.
“I started ordering products from companies I had interviewed, and started learning,” he said. “It was trial and error to find out which companies had the products I wanted. You would be amazed at the different levels of raw materials. So I use only specialty companies I have visited the facilities and know the integrity.”
Ultimately, Snyder also became a distributor, creating his own personal pharmacy. That way he knows exactly what a patient is taking. If he says “Vitamin C,” he is sure, at least at first, that the patient gets the right kind. “If I’m going to be responsible for someone’s health, I want to know exactly what they’re taking and use products I know I can depend on and not send them out for potluck at the health food stores.”
Adding homeopathic medicines to his clinic has also had a financial benefit, since patients buy products from him, rather than spending their money in stores on the same products.
“Why should I do all the homework and research and spend all the hours on seminars and study times, to send them down to the health-food store for the store to make all the money on the product?” Snyder asks with a smile.
The products’ contributions to his healthy bottom line provide a very nice, if not a rhetorical, answer.
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When employees of various health food stores come into his practice as patients, Snyder gives them discounts. He does the same with students and faculty of local massage-therapy institutes.
“The same people that are going to come into your practice are going to go into those stores, and the word spreads,” Snyder says. “I know they are a ready referral base. Once they feel comfortable with you, they’re in a position to do a lot of referring. Any way you can promote yourself and get the word out there is what will work. The percent of the community that is interested in natural remedies is growing...It takes time, but if you do good work and you’re helping people, the word spreads.”
Education is key
Getting patients in tune with the methods of nutritional and homeopathic protocols, Snyder says, is a matter of education. Whether it is through lectures, newsletters or just one-on-one discussions, he tries to get the word out, describing the advantages of homeopathy in layperson’s terms.
“Education is the key to this,” he says. “People hear of nutrition; they hear of homeopathy, herbology; they hear about all these things. But who knows what they really hear or read or what they really know? But once you explain it to them, they see the need for it. Once you get some credible results from homeopathy or nutrition, they see what you’re doing.”
Patient education includes illustrating the advantages of homeopathic techniques as compared to common medical practices. Snyder estimates that one-third of his practice involves pediatric cases, saying that children respond well to homeopathic care. Parents like it as an option to using antibiotics.
“Most parents are fed up with going in and getting another antibiotic and watching their kids get sicker and sicker as they continue to suppress the immune system with the antibiotic,” he says. “You teach them that’s what the antibiotics do — they suppress. They don’t kill of all the bad guys. They leave some behind.”
The strategy has left Snyder with a practice that averages $132 per office visit and bills an average of $1,650 per case. This includes all chiropractic, nutritional and homeopathic care.
Transforming the practice
Although he still practices it, chiropractic is essentially in Snyder’s rearview mirror. He leaves that to Dr. Annalee Kitay, a recently hired associate. Snyder believes Kitay’s presence could mean a boost of 20 to 25 percent in gross billings because of the number of chiropractic cases that will no longer be referred out.
Snyder prefers to pursue the less common areas of expertise. It was a road he took almost by accident.
Snyder began his career by focusing only on chiropractic. He did, however, have an interest in nutrition. During his days at Logan College of Chiropractic in Missouri, a DC, who was also an MD specializing in nutritional endocrinology, was doing research. The visiting doctor taught classes in nutrition.“So I had three or four semesters of some pretty in-depth clinical nutrition teaching. Normally I would have had one semester of some really lightweight dietetics,” Snyder recalls. “I was really fascinated by [what I learned].”
Once he began practicing, Snyder was looking for more information, attending seminars and listening to everything he could on the subject of nutrition. About a year after Snyder was in private practice, Columbia (Mo.) College, where he did some undergraduate work, offered a two-year program in bionutrition.
“They brought in all the big names of the day who had written the books and who were the nutrition gurus for different modules of teaching,” Snyder remembers. “That gave me the opportunity to really find out about clinical nutrition and nutritional medicine, and I earned a separate degree in bionutrition.”
After about a dozen years in practice, during which time he began specializing more in nutritional medicine and practicing less chiropractic — “Because (chiropractic) took more and more of my time,” he says — Snyder decided to commit 100 percent to nutrition. Along the way he began studying homeopathy.
“I was fascinated by the detoxification aspect of homeopathy,” he says.
He still practices chiropractic. As he says, some patients “don’t want anyone touching them but me.” But in most cases, his one-time chiropractic patients make the transition to nutrition and homeopathy and Snyder continues to treat them with those means.
“That primarily is how I developed a homeopathic following,” he says.
And soon, like Snyder’s name in many South Florida homes, it may even become a household word.
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Why add homeopathy to your practice?
Though it has proved profitable in his practice, Dr. Gary Snyder realizes that not every chiropractor is going to branch out into homeopathy and/or nutritional medicine. In fact, he sees a very bottom-line reason on why relatively few doctors go down that road.
“Insurance doesn’t pay well for it, and may not pay for it at all, depending on what state you’re in,” he says. “I spend an hour in a [homeopathic or nutritional] consultation with a patient. It doesn’t take long to do the math; you can see one or two patients in an hour or you can see 10 or 12 chiropractic patients. The reason more doctors don’t get into this is because it’s more difficult to make the same kind of money that you can in chiropractic, but I have found a way to make it work for me.”
Snyder estimates that 90 percent of his practice consists of nutritional and homeopathic cases. Though that approach has worked for him, he doesn’t necessarily recommend it to the masses. It can be time-consuming and the technical aspects aren’t the easiest to learn.
But he believes that all chiropractors should offer nutritional medicine and/or homeopathy as an adjunct to their chiropractic practices. By achieving a good balance between chiropractic and the other two disciplines — and, more importantly, getting the word out to the community that he or she offers all three — a DC will find that one will feed the other two in terms of getting patients and keeping them.
Snyder says that even if you don’t specialize in nutrition or homeopathy it doesn’t mean you can’t offer patients help in those areas. Look for ways to help patients without in-depth analysis, thereby keeping time commitment down, he suggests.
One method he uses to accomplish this is using a home test kit,. The patient fills out the information, then sends it back to Snyder, who analyzes it and devises a simple program based on the patient’s needs.
“Things like that take less of the doctor’s time, yet provide a very high-tech and thorough result,” Snyder said. “That’s what [chiropractors] need to look for.”
Snyder believes this will only help a DC, saying that patients are going to be drawn toward a more well-rounded practice.
People already spend money at health-food stores with little or no guidance. He believes they need and want that guidance and will pay to receive direction.
Giving nutrition and homeopathic guidance supports chiropractic, since the disciplines bounce patients back and forth.
”When you’re known as a nutritional specialist or deal in homeopathy, patients will come to see you that wouldn’t normally come to a chiropractor,” Snyder says. “Once they get to know you, they will become very good chiropractic patients. Likewise, patients who don’t know anything about nutrition or homeopathy, that come to you as a chiropractor, once they get to know you, once they trust you, once you start talking to them, they will become very good nutritional and homeopathic patients. So there’s a real good back-and-forth referral here.”
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Vital Statistics
The Alternative Medicine Center
1290 E. Oakland Park, Suite 100
Fort Lauderdale, FL 33334
Phone: 954-486-4000
Fax: 954-564-5598
Website: www.drgarysnyder.com
Email: DrGary@drgarysnyder.com
TEAM PLAYERS
Gary Snyder, DC
Terra Ray, front desk medical assistant, 2 years
Charlotte Newbury, office manager and bookkeeper, 11 years
Penny Cline, RN, LMT, 3 years
Blanca Gonzalez, front desk MA, 4 months
Annalee Kitay, DC, 1 month
OFFICE HOURS
Monday, Wednesday, Friday
9 a.m. to 7 p.m.
Tuesday, Thursday
9 a.m. –4 p.m.
Practice revenue
by payment type:
100% cash practice
gross billing
2002: $500,000
2003: $550,000 (projected)
Gross collections
97%
Patient Visits/Week: 75
New Patients /Month: 25.4
Patient Visit Average: 9-12/day
Office Visit Average: $132
Cash fee average: $1,650
Marketing budget
$374/month Yellow Pages
$1500/year for mailings,
$500/year for brochures, misc.
All figures are provided to
Chiropractic Economics by the profiled doctor.
Todd Stumpf is a freelance writer from Akron, Ohio. He has written professionally for 14 years. He has been with Chiropractic Economics as a contributing editor for three years. He can be reached at TStumpf22@yahoo.com.
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