• Antonio Leal

Episode #5 The Chiroporactor.....An Interview with Dr. Fil Tiburcio #tntweekly #podcast #physio

Antonio Leal 0:26

Welcome to another episode of community weekly episode number five. Check me out at TYT weekly COMM And subscribe to my podcast. You can find them easily on Apple podcasts, Google podcasts or Spotify. Really appreciate it. Really excited about our guest today in the house. Actually I'm in his house known as Dr. T Mr. T. Dr. Phil. I'm not sure which one it is but I'm so happy to have him in the house and talk to him about chiropractic chiropractics, in physiomesh, etc. And we'll find out what Phil is up to and what he has been up to during COVID. How are you doing, Phil? I'm doing great. And I wanted to thank you for this opportunity, because it's an opportunity to talk about a little bit of the small businesses and how everything has been affecting them and what we've been doing to cope. Yeah, so I appreciate that very much. So my, my pleasure, you know, came down to Austin and 2010 and I've never looked back and this is a great opportunity for me to reach out to the business people and had a lot of time during COVID to think about what I could do. I just feel for everyone in the business community and they've treated me well and I just want to give something back. So listen for any listeners that don't know you, Phil. You know, can you tell them your story how what brought you Allison, what got you into this level of care? And give us sort of a journey and how you got here to Allison, thank you. It's

Dr. Fil Tiburcio 2:09

a it's actually an interesting story because when I was in school, med school was always at the top of my, my list of where I want to go. So I went to U of T specialize in human bio. Then I did my masters at Hamilton, at Mack. And during this time, I already had taken my MCAT I had applied to med schools, everything was ready to go. And then I played baseball hurt my back and one of my colleagues while I was doing my Masters said, You should go see a Cairo and it was down the street from McMaster and I did. And I basically fell in love and I loved how the hands on component of the treatment was used. And that was kind of what I think my passion was. I just didn't know what at the time. So I asked that doctor at that time, if I could shadow him for a few a few weeks. And he allowed me, taught me took me to actually some seminars and stuff like he really took me under his wing and he didn't have to. But after that I pulled all my applications from med school, apply to Cairo school at cmcc are in Toronto. And the rest is history. Then I associated with somebody at a clinic in multidisciplinary clinic in Scarborough. And that took me to another level where I'm like, I really want to work with other health care practitioners, because I'm all about interdisciplinary. I believe that working with professionals in different health fields is the best way of getting people better. Not one person has all the answers or not one profession has all the answers in my opinion. So after four years of working under, so another colleague, I look to expand, I always wanted to own my own business. So this opportunity came to open up shop out of the walking clinic in Walmart. And here, Allison here now So jack Nathan health was a company or is a company that owns the rights to all the walking clinics in the Walmarts. Yeah, so they reached out to physiomesh if we wanted to expand, I was the first in the whole physiol med franchise to to look into it. So we walk. I'm born and raised in Toronto. Yeah. So downtown Toronto. So I drive up with my partner at that time, my business partner, and we come and we're driving along at night and come up to Walmart. And at that time, there was not even the W there was nothing. Yeah, it was just Walmart. And I'm like, Okay, so now what are we going to do? So we walk in, saw the opportunity, that the key, and the turning point, if you want to call it TSN turning point was when I met the docs, the doctors that run the walk in clinic at Walmart, are probably some of the most progressive thinking Doc's I've ever met. In terms of allowing me in accepting me because if you know the history of Kairos, and MDs, there was a like some battles. write some bad blood back in the day, but we've evolved quite a bit. So it took some time we built up at Walmart, we started to see some patient now what year was that? 2011. So I've been here nine and a half years. I will never go back to Toronto. No offense, but I love being up north and in this town. I really do. So we grew. There was some obviously some learning curve learning curve between the dogs. There's a trust factor too. They have to trust what I do, and I have to trust what they do. And we grew a friendship and a professional friendship at that. We grew out of that walking clinic. So we look to expand to a standalone. Then we went to the zehrs Plaza Alstom Mills. We were in between subway and lenscrafters. So we kept both we kept the walking clinic and we kept that clinic. And we eventually we took off we did well, I started hiring more people. professionals, no more physios more massage therapists, more kinesiologists we grew, then the doctors had the opportunity to look at millpond and expand upon. And so that was always one of my dreams is also to have a little bit of a bigger place a little bit of and being in a medical building where everybody's talking the same talk, so to speak. And because again, I really truly believe that when you have different professionals working on one person, that more answers are going to get more questions are going to get answered. You're going to look at that patient's health and at different from different points of views. And you're going to it's going to improve so we then so as the doctors built this, the building we're in right now, we eventually moved and the rest is history from there and we just continue to grow. And it's been great because I've had to hire more professionals, more assistance, more admin, more And it's been great. And just to add to that, to show you how great these doctors are Dr. Cogan, then applied for community physiotherapy program to be run out of Stevenson Memorial Hospital so that people can the people who need to come since can have all hip covered physiotherapy. She applied for that and then asked us to run it. So another opportunity for us where we now run the hip covered physiotherapy out of Stevenson Memorial all because of the doctors have you to come to us because that was something that she had to apply for one of the doctors had to apply for and Dr. Cogan just wanted to provide a service but didn't want to couldn't undertake it herself. So she passed it on to us. So another blessing.

Antonio Leal 7:50

Well, I totally agree with you. It's forward thinking all the way with these doctors. And as you know, we know them well. You know, you've positioned yourself just amazingly in this building this one stop shop vision that came to fruition over the past four or five years with a beautiful location here, centralized in the community of asthalin. And and and delivering combined amenities and services in the building like that one stop shop. So exactly as you were envisioning, I think you're sitting in a great position here and Allison with one beautiful location and 100%. I commend you on that challenge, that you conquered it. As far as the the the service of chiropractics, for those that have never had a chiropractor or know anything about it. Yeah. Could you tell our listeners, what exactly does a chiropractor do or what what what sort of health care benefits? Does the service of chiropractic offer?

Dr. Fil Tiburcio 8:47

Sure it's a we've come a long way. So at cmcc we're very evidence based, we try to add end cmcc for those who don't know, they're Canadian Memorial chiropractic college in Toronto. Very evidence based very a lot of research done. So how I like to explain it is that we we focus on the relationship between the musculoskeletal system, so all your muscles, your joints, your bones, all that stuff, and the nervous system. And what we look for is, is there a dysfunction between them? So if you're coming in with low back pain, well, that could entail a whole slew of things. So you have to look at the joints, you have to look at the muscles, you have to look at the nervous system as to how are they contributing to this person's issue, whether it's a low back and neck, a shoulder and an elbow doesn't matter. And so what we do is we try to correct this this function. And because when you correct this, this function, then your body's in a better position to try to heal itself and to try to then strengthen and move forward in better mechanics. That being said, I'm big on exercise also. So I love to adjust. So the adjustment is when you're trying to Move a joint to sort of loosen it up, allow the nerves to be free, the cracking and cracking exactly that you hear that pot and that pop is not your bones being sort of squished so to speak. Now, it's just air being released from the joint, so that you now fluid rushes in and you're more mobile, then the nervous system is also which is closely associated with the joints is a little bit more free to do its thing growing up in functionality. Yeah, but in my opinion, if you don't add strengthening to it, and you have to go back and do your repetitive job or set at a desk or be at home, whatever the case, whatever your routine is, if we move things, we sort of hit that reset button to try to bring things back to normal. So your pain levels are low and your function is better. If I in my opinion, if I don't teach you how to now strengthen and move better and watch your posture and increasing the strength of your core. It eventually is just going to trickle back. Yeah. Now so but at five I'm able to look at your symptoms, look at the structure, teach you how to strengthen, then you're going to sustain everything we've achieved, because you hear the many people's that, yeah, I've tried this and whatever, but I go back to work. And I use a torque a gun, and my elbow pain or my shoulder pain comes back. But if I'm able to decrease your pain, and then show and then strengthen the area that you're using district, use that torque gun. Yeah, and maybe show you proper body mechanics and how to do it a little differently. So you're not injuring yourself, then in my opinion, I've done my job. If you miss that component, if things that the actual like, how do I change mechanics? How do I change my strength in order to cope with your job? You're missing a key element in my opinion.

Antonio Leal 11:46

Well, that's really interesting, which leads me to my next question then. So those mechanics that you were talking about in chiropractics, where the adjustments are made, that's right. Right. Obviously, your your your your alluding to it's not only the adjustment, there's all these other services surrounding it better, which complements that adjustment in order to strengthen or the betterment of the injury and help you function better surrounding it. So again, my question was, what are the other services and staples of care and the business that you have?

Dr. Fil Tiburcio 12:21

So it really falls into that really well. So yeah, and thanks, it's so right now what we have here is we have chiropractic. We have physiotherapy, we have massage, we have Acropolis, which is a foot doctor specialist specializes in foot dock in feet. Reason being why we have that is because obviously, you know, if you look at just here in our town, you have Honda for instance, you have a lot of Honda associates, associated companies, they're on their feet all day. And then so your foot structure and your your components of your shock absorbers pretty much could be leading and could be lending a hand To some of your knee pain and your hip pain, so we have we brought on Acropolis who is here to help with that component. So, it's very, I don't like calling our clinic multidisciplinary, I like to call it interdisciplinary because we really focus on working together. So we all know the patient's files. We all work together, and it's, it's a matter of, Okay, so, as a chiropractor, I will deal with the musculoskeletal system, I will deal with the dysfunction and adjust if I have to, I do acupuncture too. So I have that and a couple of my other Cairo's do, so we have that as an alternative. But then it's a matter of Okay, my physio now deals Yeah, strengthen your opponent. Yeah. And then I have my massage therapist who's going to deal with Okay, does this person have more of a global muscular dysfunction? So my massage therapist, does this person have, you know, bad foot structure, or you know, are there is there are the flat feet hierarchs feet by me That's where my crop is comes in. So we work together and want to provide basically like this building, we want to be that one stop shop that everybody can come and I hope I can get help for what their their cases. And of course the benefit is if I think it's out of my scope. If I think this person needs an anti inflammatory or something to help me do my job, then it's a matter of sending to the doctors Yeah, upstairs so that they can they can take a look or if I need an X ray, or if I need something of that nature and how easy is it to just upstairs and get an appointment with them interface.So it's like an E, it's like your services in physio med is like the electronic medical records of a physician. That's right, that gets passed around. That's right, any services around what's his file? What's this? Well, you take your patient's file in here in physio med, and if it starts with you, the chiropractor, then you rotate that patient around all your services to make sure he comes out or she comes out 100% that's, that's exactly you nailed it because my whole my whole mentality is my physio went to school, my massage therapist went to school tyrells went to school, my crops went to school. So your your ex, you're an expert in your field. So we exploit that. Why not you? I know some exercises, I can prescribe exercises. But part of what my physio does, they do much more but one of the main components is knowing rehab is knowing physios knowing the exercise component of things. So that's what we focus with them. Massage Therapist, that's what they went to school for is to work on muscular dysfunction. Um, I do soft tissue therapy. That's fine, but it's also easier. If I'm for my massage therapists to focus on the global aspect of the muscle. I can look at foot structure, I can do a biomechanical assessment, but my koraput is what they went to school for that we Have the experts in the different fields, like you said. And we can then suggest and rotate through this so that the patient comes out with the best of our ability.

Antonio Leal 16:10

Yeah. Better. That's awesome. That's a really, really awesome No, I've been here pre COVID and and seen this place in action. It's busy, everybody's happy. You have some great people here with great services and offer and all the help and it's just a great, great atmosphere. I think with all the services you have. You're just missing a bar.

Dr. Fil Tiburcio 16:33

You have no idea how many people comment on that? Because they're like, some people love coming because they like you guys make it social.

Antonio Leal 16:40

Yeah, it's I totally that's what I was saying.

Dr. Fil Tiburcio 16:42

It's one thing I've told people, my employees I'm like, please, like people are coming in pain. They're they're upset because they haven't been able to do whatever they like to do whatever their activities of daily living or whether it's golf, playing with their kids going for a bike ride, watching TV, whatever it is. They've been there, this their disability or their ailment is taking them out from that. So they're not going to be very happy. So I've always asked my employees, please don't be down with them. Try to bring them like be be smiling. A little comedy never heard anybody have a nice social, be professional, but be social. Because if we can take out a little bit of the mental aspect of things where people are down because they can't go do this, I can't go do that. In my opinion, that was always again, I want it to be fun, professional and goal oriented number one. Yeah. But it could be fun at the same time. It doesn't have to be serious and I I think we've achieved that because a lot of our patients do say like, it's kind of a nice social outing. No,I noticed. It's kind of nice to come. Everybody's smiling. We're having a good time still doing my exercise. I'm still doing everything, but it's not miserable. Yeah. And I take pride in that because it was always one of my things, because I for Those who know me I'm very sarcastic. I like to joke around I don't want to be professional when I have to be. But being professionalism being yet you have to omit all those things. You can still have fun. You can still crack a joke. Yeah. Because I think that plays a big role in somebody total. Yeah.And just relaxing everyday. Exactly. No. Yeah.

Antonio Leal 18:23

You know, it's, it's, it's COVID time, right? Like,every time I think about this, you know, my heart goes out to businesses, my heart goes out to everyone. It's it's just such a crazy, crazy, strange time difference. Just, we could have never ever imagined this, you know, and, you know, in regards to your business, you know, I know that, you know, you voluntarily shut down. Yeah. You know, when that curve was really jumping up. Yeah. I can imagine. I can't imagine you're Your thoughts your I can't imagine what one of though everything. Yeah, everything you put into this dream of yours. All of a sudden it's not your fault is nobody's fault no COVID came in End of story. So you were shut down. I know you're just starting to open up now.

Dr. Fil Tiburcio 19:18

Yeah, we're coming back,

Antonio Leal 19:20

you know, we don't know what post COVID really, really look looks like but you know, everyone has had a story and a lot of people have suffered and I would just like the listeners to know what you've endured and what you know has how this has affected you personally, your staff your operations. And you know one thing I love about you, Phil, is you always got a smile on your face. Oh, no, you're you're always upbeat, got a smile on your face. I've never ever seen you down and this is a period where? Okay, I can understand them. Yeah, right. You know. Please tell us your story. Why? Going into COVID and now back out of COVID.

Dr. Fil Tiburcio 20:03

Yeah, it was it's it's been a rollercoaster that's for sure. March 18 was the day we we shut down. It was the day where I had to make a decision probably the toughest of my career to date. Reason being is we had great patients still coming in and everybody was being careful. Things were ramping up, like that was March 15 is kind of like when everything really went and we were keeping an eye on things. Patients were still coming in, we didn't really know the extent of what was coming. But March then you start hearing the doctors at the hospital, that what they're going through a lot of the frontline workers then you start hearing about, you know, stories of what's going on around the world. And here we are still open still doing our thing. And one of my Cairo's Dr. Jeff's is the one that sort of brought it up and she's like, I'm at the point where I think, I don't know if I want to treat that need to do my part. Then my wife brought it up and in the back of my head and I'm like, well, this sucks. And I got it completely understand. And so March 18 was the day we're like, okay, it is what it is. It's we need to shut down. And it was, like I said, we even closed early that day. So we had to cancel our afternoon patients. And we said, okay, now knowing very well, what we're headed for. So we did, and you take it, you look at it, you take it as an opportunity to clean up administrative work, catch up on stuff. Keep an eye on the news, which is good and bad. Because it can really take a toll. I think it's always bad. Oh, my goodness, I had to stop at the beginning. I was really on it, because I wanted to see what was going on. But after that, it was kind of like checkpoints, see where we're going to where our colleges what our colleges are seeing, see what the government saying. Yeah, and we at that point, were shut down completely. Only Few weeks after that, maybe maybe three to four weeks actually, our colleges said we could look at maybe treating urgent and emergency care patients and and only those so I didn't want to expose a lot of my other practitioners do anything. And I you can ask any of them I've never forced anybody's hand it to their call. So I started seeing emergency and urgent patients now that's far and few in between. and you have to make a judgment call as to what is considered urgent and emergency so I saw a few patients throughout. And at the same time, like I said, trying to prep trying to stay positive, and I'll be honest, the extra time with the families what keeps you going. So it's a it Same here. I mean, the extra time with everybody at home. You know, put me through a sense of man, I I just expected so much and yeah. And I just thought everything was going to come to me naturally and there never was going to be an issue. And all of a sudden, I had the moment to think that you know, I'm lucky who I am I'm lucky what I have 100% because at a moment's time everything can be gone. And we have no control out of your control. That's the that's the key I think. Yeah. gets everybody is Yeah. Both both us as business owners and your government. Yeah. This is not something that you can flip a switch and change this is the end I think this is where even a lot of people in power have a hard time accepting as this is not something that you can write a bill you can you can, you know, write in the directive or or do something to change this is out of your power and I think that's where it took a toll on a lot of people. But that being said, I treated the emergency I kept things positive. Yeah, I had weekly zoom meetings with my entire To try to keep people active, my wife was very active in social media to try to keep our patients going. And then we flipped a switch on virtual care. So I brought on my physical therapist, not in the clinic, but they were doing it from abroad. For people who needed really the guidance and people who needed some, somebody to be there to show them how to do the rehab exercises at home, or if they had questions, how to progress the rehab, they needed. A lot of people needed that sort of one on one. So that's where we, as a team, we got onto a secure platform. Yeah, we teamed up with this company to health where they created this secure platform, so that for patient confidentiality and patient records, we know we're, we're covered. And we started to do a few virtual care sessions here and there, my physical therapists, my wife started to do a few virtual very difficult for us Some people just because it's it's some it's a different world it's look at the exercise world how many people put out you know, at home exercise programs and or you know nutritional guidance and so I don't know how gyms are going to come back gyms or gyms is I'm scared because some of the feedback I've been getting in some of the what I've been listening to it's going to be that whole 24 seven mentality is out the door it's going to be very you know, it's going to be from what I hear and don't quote me on this but it's a lot of it's going to be appointment based. Yeah, you have to block your good luck.

Antonio Leal 25:38

Yeah, well, you you are quite good life at least I'm a member here in town a good life and, and they're going to be doing email. You know, advance notice on a booking format, right that you have to book in. Yeah. You know that some of their cleaning directives are complete sweep clean. Every hour. A gym is open thinking trainers that go to the gym need gloves and masks requirement. Yeah, I don't know. I don't know if we're only going to have an hour to work. That's right. Time. Me time. I mean, for me, it's the convenience of just, you know, I'm busy. I got an hour. And I go, look, I can't see myself booking I know. And that's and I know, they're trying and I know they they have rules and regulations, but it's gonna be difficult,

Dr. Fil Tiburcio 26:27

but I couldn't see myself buying online food either. And I did. So exactly what we got forced into something and I think that's gonna reflect Yeah, and post COVID right. It's the post COVID thing. You know, for us. Same thing, like I never thought I was, to be honest, virtual care was going to be crazy, I think. And it's going to be it's not going away. No, because with the restrictions I have, when when we're opening up in terms of volume and in terms of you know, the cleaning process and so forth. Virtual care is here to stay. It's because you can come in for checkpoint to do your initial assessment, maybe some hands on care. But as you start getting improving, that virtual care might become an option where, hey,as far as guidance at home, I am progression. Yeah. And maybe you don't come into the and leave that space for somebody else who needs an assessment or need to be evaluation so forth. So we don't know. But yeah, so that we grew, we have to get there's rules and regulations in terms from our college what we need in terms of pmes in terms of plexiglass, and at the front, your social distancing. So we, towards the end was a lot of resourcing where we're getting our masks. Where are we at in our Plexiglas? We're getting our stickers, where are we getting, you know, our even our disinfectants for instance. We're all they're all in our hand sanitizers is all on the Canadian website. So that the I wanted to abide by rules. I want somebody I want my patients to feel comfortable that if I told them to go search my hand sanitizer or Mike, my disinfectant, that they're comfortable that they can go to that Canadian government website and find my cleaner on there. So we went to that we don't have to wear and 95 masks, but I do all practitioners wear n 95 masks. Because we want to keep our patients safe. I want my patients to feel as comfortable as they were before. Different but comfortable. But yeah, the volume is not there. The volume has to slowly creep up, I still want to do my part. I still want to be safe with how many people are coming through these doors, and they want it to be done in an organized fashion so that everybody's safe. And our community has been doing great with numbers. Yeah. I do not want to contribute to that. So I want to follow rules and regulations.

Antonio Leal 28:54

You're doing the right thing. You're doing the right thing.

Dr. Fil Tiburcio 28:56

The one thing we mentioned on and I just wanted that time with family He's been fantastic. I've never had as many family dinners as I have now. In the past two and a half months, it's my kids, I'm getting text messages like as I'm back just this week that he would miss you so much like, it's great. You coming home, which is great. And I it puts things in perspective, though priorities man, like really, really puts it into priorities.

Antonio Leal 29:20

You know, we're machines I know you. Yeah. You know, with machines we we work many many hours. Yep. But maybe this is a wake up call, you know, I what we become an elite what we need to do, right?

Dr. Fil Tiburcio 29:31

Yeah, it's, you got to look at it and say, okay, like, what do I prioritize and, and where are my priorities? And my kids are young. So it's, this is like, yeah, this is the time Yeah. So it's been good. It's been challenging to with homeschooling and everything.

Antonio Leal 29:50

Yeah,no, that's a whole different cup of tea. We that's it that we can do a whole podcast on the homeschooling. Want to bring my son on because he won't know any Is that but it's tough on both endsis having a hard time not saying he would I don't say that, you know maliciously but he's having a such a difficult time getting focused on this online homework thing he just he's really having a tough time like it's there's no way he's getting is no six day you know seven hours a day and schooling and that focus on schooling and so it's a tough adjustment I really thought last week is going to dawn the social aspect of them having recess with their friends.

Dr. Fil Tiburcio 30:30

Yeah, having a you know, whatever breaks they had they had with friends and yeah, they would talk about their homework, you know, times they will talk about sports, they will talk about this like they are secluded now in their homes. And you're asking them to put in all these hours of work, you know, and I'll be honest, like I I used to have to take myself when I was in school out of my home because I do everything but homework. So that'swhy that's why I don't think the virtual world is going to just catch No, I think it's tough. You have to get out. And you have to go to work. I think for many Yeah, for me, I think mentally it's good super.

Antonio Leal 31:08

Yeah. You know, I've been thinking a lot on the essential service side of businesses and you know, you're talking a lot about your your areas of care. My experience with a chiropractor, I had a pinched nerve. I was still in Ottawa and yeah, I had a pinched nerve on my second What do you call them at the back the sixth or the seventh?

Dr. Fil Tiburcio 31:29

Yeah, it depended like yeah, names for each of cc six or C, or D six or seven. It all depends on whichever.

Antonio Leal 31:36

Yeah, I could not. I could not move my head. Any, any sort of nudge was the most extreme pain I've ever,ever had. It was just I could not do anything. Right. And thank goodness for the chiropractor and thank goodness for physio, and thank goodness for the instructions on you know how to flex and how Improve and everything. Over time I got my movement back. And whenever I have a little sort of flare up, I know the exercises that I used to do, and I do them and it kind of loosens things up in your back pocket.

Yeah, that's so god bless anyone out there with that type of pain that was reaching out to you during this time in COVID. And you were shut down. And you're not classified in essential service. Yeah, to me, that's mind boggling. mind boggling. Yeah. Because lcbo friggin they didn't shut for a minute. lcbo they found a way beer store, you know, found a way found a way but how can it be that your services were not defined as essential? And and I think I don't know. I'm certain you did Phil pick up the phones of what's going on. Like I have people that I need to take care of. We did. There are people that know I can't do this virtually. I need to open up and I need to take care of them. Like how did you handle that that must have drove you crazy.

Dr. Fil Tiburcio 33:05

It was. Yeah, it was one of the toughest things we were on. We were on webinars with Kairos physios massage therapists like this one. This one team ran these webinars, basically for everybody have a voice. And we obviously reached out to our colleges and so forth. Because there's, in a clinic, it's easy to control the volume. It's easy to similar to what other stores are doing. It's easy. I can only treat one person at a time. I only have two lanes. So it would be easy to screen. Walk him through the door, take your temperature if I have to ask him to wear masks. Come on in. Let's treat you and you can leave. And this is stuff we proposed to a lot of the a lot of to the government sort of arms that we can deal with. And it was kind of always the numbers, the numbers, the numbers and then BC and Saskatchewan. opened up and or started opening up, I shouldn't say that. And there's stage one included Cairo's physios massage therapists and so forth. So we're like, Okay, great. When Ontario starts to open up, and stage one starts coming, I can see that they're probably going to follow the lead of BC and Saskatchewan. And that kind of gave us a little bit of hope. So we kind of sort of pulled back a little bit out of our complaints and so forth. We were like, okay, let's wait to see when stage one opens. And we'll go stage one opened up and we weren't called upon and we're like, Okay, now we're going to flip tables. So our colleges we're, you know, obviously upset trying to still abide by this and these are government regulations. So it is what it is. still treat your you know, emergency and urgent and you're right. You have no idea when we were like doing social media with virtual, you know, trying to push it. People are like, you know, I need hands on, and a lot of people did totally, totally because they Certain things you just need to work at, and I can't show you stretches. And it's hard to be honest, it's hard to stretch or it's hard to do an exercise. When you're in pain, you first have to get rid of what's causing the dysfunction, this pain, then we'll work on the stretching, but you're trying to tell somebody to move their neck in a certain way impossible when they can't. So it was a it was a tough pill to swallow. But again, you kind of at one point you fight you argue you make your point. But at one point you in order for your your mental state, you accept it and you just pray that it's going to all work out. And it did it you know, was long two and a half months of no lost revenues. Yeah. And you know, you're getting emails and you're getting text messages and you're getting, you know, messages through Facebook about patients who you know, can't wait and that's a blessing. That's to me. I was telling my whole crew and Mike we did something right because people are wanting to come back. And so that's I find that as a compliment.

I appreciate that. I appreciate that. But I i thought i'd that's what I chose to look at is like, you know what, there's people there, they're going to come back. We're going to do things right. And that's the only way and there was times at home like my, you know, people my wife was kind of down and and this is I had to like, still stay positive. My kids were down and you stopped to stay positive. You do those zoom meetings? And the question I got asked the most from my employees were when do you think we're back? They have no answer. I had no answer.

And another example of who you are your employees calling you. When am I coming back? They're like whenever they want to come back. They want to come back and look anywhere else. Well, not that there was much around No, but they and that was the again those zoom meetings were my Every Friday at one o'clock they were my, my sort of like, freedom, like I talked to these and I looked at these crew, this crew, and I'm like, everybody's on the zoom meeting on a Friday afternoon. They don't have to be. And they're the number one question without a doubt. And you can ask is, when do you think we're back? What a statement it was, it was great. And it kills you when you don't have an answer. But as it went on my guesstimate or wisdom, and this was, you know, even last month was June 1 was my guesstimate. I'm like, don't look any earlier than June 1. And it panned out that way, I didn't, I don't have a crystal ball. But the way things were going to kind of like talking to colleagues on like, June 1 is probably going to be the go to, and that's what happened.

Antonio Leal 37:48

Well, that's leads to my next question. Have you read the questions that I have for you or something like you know, you're picking them all off burn perfectly? That leads me to the next question is you open this week. I didn't. Yeah, first of June Yeah, yeah. I've seen the activity. How's it going? How's it going? And I isn't post we don't even I don't even know if it's really post COVID. I know I don't really I don't think it's it's post, but we don't know how post it's gonna be

Dr. Fil Tiburcio 38:16

That's right. That's right. It has been great in terms of patients wanting to come in now. I've had to change things. Obviously, there's a screening process before you come in, you have to wear a mask. If you're as a patient, all my providers or even men are wearing masks, if the wants to come in has been great. It's been actually a blessing because I'm looking at Okay, I might have to bring more people back. Because that's what's happening, which I would have guessed, because there's still some fear out there. And I completely understand. But I want people to rest assure we're doing everything in our capabilities. To keep this place safe, the whole crew is not here at the same time. It's very limited right now hence why people calling in I appreciate all the calls and the emails to want to book in. But we have to be at least for a week or two, we have to be a little bit reserved in terms of how we, how many people we see and how we're booking until we get the feel. And really make sure the policies and procedures that we have outlined to my my staff, that they work properly, that they're and they're working. They have been it's been a great three days. It's been nice to sort of treat my patients again, and I wish I could see more of them in one day, but I can't seeing the volume I'm seeing right now is is not what I'm used to. I like to see more and I love treating so it's actually kind of nice. I've actually increased my days to to treat three At least tier three times a day, week. And it's been good. And a lot of my patients appreciate it because I wasn't treating this much even pre COVID.

Antonio Leal 40:08

Yeah. So what is post COVID going to look like?

Dr. Fil Tiburcio 40:12

The initial state of post COVID is looking good. I'd like to look at these next two weeks and go but again, is it at the volume I was at before? Not even close I think you'll get there that yoI think at listen over time, Antonio, the one thing is if you ask anyone, I've tried to stay as positive as possible with this, because we're all in this. It's this is not like it was my clinics, you know, it happened just to my clinic. This is everybody. And so we got to roll the punches and whatever it takes whatever things I have to change whatever I have to invest in to make this clinic run smoothly. I will. And because the whole point of being in this business is to take care of people. Yeah. And if if like I said, if that's requires me to buy a particular thing or invest in a particular item that is going to make it safer than we will. And because I want to see this clinic back the way it was, you know, it will come. Yeah, it's going to take some time. But it'll be here. And that's what I hang on to. It's, it's different for everybody. That's the problem.

Antonio Leal 41:22

I checked out your website. And what I noticed on there also is one of your services is that you promote healthy nutrition and nutritional support, young guidance, etc. And that really piques my interest because the last couple of podcasts inspired by Joe Rogan the man Yep. And, you know, not just what he's blasting out, but everything that he's telling me Makes sense with a little bit of of knowledge I had already right at the end of the day. Eating while taking care of yourself. vitamin supplements, being the best that you can be in parallel with physical fitness center is going to improve your immune system. And here we are in the middle of COVID. And I don't hear news blasts and newspapers front page saying this is the best remedy right now. Obviously there are those with underlying health issues. Yes, there are seniors are, you know, of course, I understand that but sort of my philosophy on this nutritional approaches. If you're within that age group, and you could be a senior I'm 60. Yeah, you know, and I'm focusing. Thank you. I'm focusing on that. eating well, limiting alcohol even though we're having a beer right now. Yep. You know, vitamin supplements physical exercise. eyes, and just ensuring that I can be the best that I can be so that my immune system, if, by chance I do get COVID will have the best shot. Because I think we're all going to be exposed to this somehow, exactly, this thing will mutate, it'll expose a second wave, it's going to come so why not focus now on being the best we can be? Let's eat the best we can let's vitamin supplement. Let's take lots of vitamin D, let's take lots of zinc bullets. I mean, it's easy to find out who and and who can give you that knowledge. So I really like seeing that on your website, and how you're focusing on that as another element of all that services that you're doing. So where I'm coming from, you know, how do you see that approach and tell me what you would, what information you would do and provide to your to your clients.

Dr. Fil Tiburcio 43:55

However, ya know, it's one of the things we've always been trying To convey to our patients his, his health, a healthy lifestyle, and I've always said just move like you got to move like because you get some patients in and obviously they're a little bit more sedentary than you'd like and so forth. My goal has been holistic is, is looking at all the contributing factors. And so if you're coming in, and let's say you're a little bit more overweight than you should be, and you're complaining of knee pain, I can probably deal with your knee pain, that acute knee pain, I can teach you some stuff. But in terms of mechanics, we should look at the whole picture totally weight being one of them. And if your weight if you're a little bit overweight and you're considered overweight, then you have to think of the impact that's taking on your knees. If you're going to be a holistic practitioner, you're going to want to be interdisciplinary. You'd be doing an injustice, not to bring up that question. Not only for the nipping but metabolically, your heart, diabetes, you name it, I can keep going. So one of the things we like to sort of bring in, I do a body composition test on everybody that comes in, and you'll get the odd person is like, why are we doing a body composition? Well, because I'd like to show what your hydration level is, what your body fat composition is your muscle mass and so forth. Because if any of those things are off, they could be contributing to your overall health. Now we're in COVID. So we're like, Okay, this is even more important now because I truly believe like what you said, the better position you are in. If you happen to be one of the unlucky people to contract it. I truly believe you'll be fine. You're going to get

Antonio Leal 45:51

I believe that too.

Dr. Fil Tiburcio 45:51

I really, really do. So Paige Hawkins is I'm giving her a little plug A little plug here. She used to be my massage therapists. She went out to Ottawa and got her holistic nutrition degree. And still does Mitchell massage therapy. Not here but she working in Ottawa. No came back. Okay, she's up in Barrie. So she, she's not doing massage therapy here and she's not even doing a lot. She really is pushing the holistic nutrition component of things. So we are promoting her and using her because her approach kind of fits with what we're doing and it's realistic and I'm big on realism in terms of life like you said it's, it's about the correct supplements. It's about changing lifestyle in terms of what you eat, eating things properly and going from there. If you you know if you look at some of the businesses even in town right now, I love the fact that a lot of people are selling and promoting some of the grass fed beef there free range meats The organic, you know, vegetables we have all here in town. And so some of these businesses that are using this COVID stuff are get are using this COVID stuff to, or this opportunity to promote these businesses that are selling grass fed. Meat, free range, organic is all about what we're trying to promote. The healthier we are. The better state we are the better practices and things you do in your life, the better position you're going to be in if God forbid you contract it totally. And that's why we have to mention that and that's why we bring that stuff up to people because this is an opportunity. You can look at this, hey, I'm at home two and a half months. You don't have to gain weight. You can take it as an opportunity to create a new regime to create a new schedule for yourself where you can go For that walk every night that you couldn't do because you were too tired from work, you can take a little bit more time to create a beautiful meal rather than possibly ordering in or having you know a pre made meal you know that you bought and I'm not saying food fast food Yeah,why not take an opportunity right nowand your days are good. I'm all about moderation the cheater days are okay, I don't think I don't think going. This is totally my opinion. Going hardcore all the time will last. So having kill your cravings, I tell people all the time. Like I rather you kill a craving in one sitting with whatever you like whether it's chocolate chips, whatever you like. Kill the craving move on. a cheater days important because if that cheater day, don't kill it. If you don't kill that craving that craving becomes you for forgery, like a large, large pizza instead of us. Yeah, you know what I mean? That's great, because and by the time of it, it's like, oh, I'll have a little bit yeah, maybe I'll have this. Even though you're craving chocolate, I'll have this little bit of chips just to kill. No, you're still craving chocolate. Just eat your chocolate. But obviously nutrition and eating a healthy, active lifestyle, leading to healthy active lifestyles been my, my statement I probably use with every patient, if you can meet a healthy active lifestyle and active means different things to different people. Because you don't I'm not saying go run marathons if you can't, but getting out, going for a hike going for a walk, completing a round of golf, be active. Yeah, the minute we plop ourselves on that couch and don't move. You're you're going down a slippery slope, in my opinion.

Antonio Leal 49:51

Well, that's great. let you know as I said on the last show, I've got Johnny Wong, a pharmacist. I've got Dr. Phil Burkill, a chiropractor, all these professionals in the health industry telling us to be better, and be the best that we can be come on New Tech, wake up, you know, wake up, just get fit, get healthier out there. And, you know, we could be a covid free zone. That's right, you know, everybody just doing their best to be the best that they can be. And, you know, alluding to that I you know, let's take care obviously of our most vulnerable are seniors and we're and yeah, let's take care of them. Obviously. Let's you know, if we want to quarantine people, let's quarantine them.

Dr. Fil Tiburcio 50:36

That's right. And then the only way we're gonna it's kind of I always I use this example with my patient talking about taking care. Think about the example when when you're on an airplane whenever we get back there, and the oxygen masks fall. What's the first rule got to put the oxygen mask on yourself in order for you to take care of somebody else? Yes, this is no different. Yeah. You have to take care of yourself. First. In order for you to take care of the ones in need, if if you're healthy, if you're integrated and got a great immune system, if you're out of pain, if you're functioning properly, we then need to now take care of like you said, of everybody else, your kids, your elderly parents, whatever the case may be. Take care of yourself first. Yeah. Because you're the you're going to put yourself in a better position to take care of the rest. And that's what we need to do. Yeah, you're right. The ones that are at risk, those are the people we need to take care of. So don't be the one at risk.

Antonio Leal 51:33

Right on right on Well said. Well said. flipping out to another. I remember Phil and I should probably should have brought this up earlier in the podcast, but you invited me out to to a showing over at the Zara's Plaza Yes. For this amazing like laser. Yes, machine that thing? Yeah, you know, yeah. I mean, laser on your spine. And thank you know, you put Laser Spine Oh, Yeah, walking after this, but you had a great presentation, the mayor was out and everybody I think Doc's were out as well. And you've had a few comments on it, you know, through the months after that, that it's really done quite remarkably well done. Yeah. For many, many patients. Maybe that's something that I think your listeners that don't know you are never been here. Because back pain is it really prevalent out there at 80% of the population will have some kind of back pain. Let the listeners know a little bit more surface amazing laser technology that you brought into Allison.

Dr. Fil Tiburcio 52:36

So the it's called the spine specialist. It's it's attraction table with laser incorporated into it. So laser therapy and traction are nothing new. They've been around for quite some time. But Dr. Mark Jagger, who invented the table his concept was based on why don't we implement the two things because traction is there to help take some pressure off joints. If you have a disc issue, you're you're trying to take the pressure off the disk to try to decrease inflammation, try to decrease any irritation of the nerve. And why people get a lot of sciatic nerve pain. And so yes, so we're trying to take a little bit of a load off the low back. But the problem was a lot of times is you get people in a lot of pain, a lot of tension, and you're trying to cause traction. So you're kind of going against what their body's trying to do as a protective response. They're tight. Things are being as sort of resilient, and you're trying to pull them apart, so to speak. Yeah. So Dr. Jagger said, well, lasers, one of the biggest things laser does or that wavelength, is it increases blood flow to an area wherever you expose it to. While if you increase blood flow to a muscle, it's going to attend to relax. So the idea was that Okay, at the same time that we're trying to create this traction, we're gonna have a laser on a robotic arm, scanning your low back. And as the laser is providing its treatment, you're increasing blood flow to the area you pick, there's different programs, but let's say the low back, you pick the area of the low back. So the muscles are now getting this influx of blood flow, and the muscles tend to relax. Now traction can occur a little bit easier because the muscles aren't so tight, so it's a little bit more comfortable. Second to that. When you increase blood flow to any body part, you're bringing in nutrients, you're bringing in vitamins, you're be bringing in building blocks to heal something. So if there's an inflammatory issue, this fresh blood flow coming in, is bringing in the troops so to speak, to try to heal so you're getting a double whammy. So you're getting the traction to give you some relief of your low back issues. You're getting money relaxation and you're bringing in new fresh nutrients to the area to try to heal it. So, I love that concept. I always want it. I love traction and I love laser. I have an independent laser here that I use on extremities. But in order to have it incorporated into low back, it was something groundbreaking. And the other thing too, on the patient side of things, it saves time on treatment. Because let's say you had to do a laser treatment before they do the traction, you're tacking on another 10 to 15 minutes of them being here, then you got to go to traction for another 1520 minutes. And all of a sudden they're here for you know, 40 minutes. So when you combine it all together, they're still getting a 15 minute treatment with all the bells and whistles. That being said, I'm a big like I started this off, I'm big on strengthening. I'm a true believer though that after that there has to be It'd be a strengthening component. Because again, we traction we take the load off, we you feel a little bit better. You stand up, you go do your daily routine, you go do whatever it is. And eventually, if you don't support with your core musculature to hold your spine up and wear this new position, eventually is just going to go back to where it was. So incorporating that machine with my love for strengthening and the exercise was one of the best things and some of the results we've seen have been incredible. It's, it's awesome to see somebody be able to get back into a daily routine, or one of my patients got into a new job like he thought he was taking early retirement and he was able to get another job. Not what he was doing, that he can cope with. He can Ender, and it was just getting them out to do what he does amazing. And I see him once in a blue moon. tended to come in and if he ever has a flare up, because it's not that the key with this table is you want to anything with low back, surgery is a flip of a coin. And the orthopedic surgeons will tell you the exact same thing they'll tell you to know, depending on the situation into 5050. There's no guarantees. So that scares a lot of people with I understand. So my my concept is, have you tried everything under the sun conservatively, so that you can fully make an educated guess, decision as to where you want to go whether surgery or not. So this table was one of kind of like the last step. It's where I see a lot of people that have done everything and anything under the sun. And they're like, this is my last resort because if this doesn't work, I'm going to surgical route. Yeah. So to have that option and to be able to change Somebody, you know, life really not to get too philosophical, but you really are changing their physical life, to be able to do something and to be able to cope with it and not go down the surgical route. I have nothing against surgery. But I'm putting myself in these people's shoes. My license.Yes, it'd be my last resort. So the table has been completely one of the best additions to the clinic for sure.

Antonio Leal 58:30

That's awesome. That's awesome. All right. We're getting into a wrap here. It's already holy jumping. It feels like already, but we're chatting away. Yes. Great. I just really enjoyed the show. Phil, it was good. Do you think yeah, I think our governments have really reacted Well, I mean, to sustain the economy. I agree in their capacity. They've done quite a bit. We're going to pay for it. The next generation will pay for it, but you know, They've done their part, you know, for now, you got an unreactive right now, exactly. So, you know, do you feel that, you know, in your opinion, the government supported you as as well as it could and your association has given you the support that you expected? During probably one of the worst economic times in history since the depression?

Dr. Fil Tiburcio 59:22

I, I think they did the best they could, like it's this is, this is, you know, a crazy time. And I have to admit, and I'm not going to get into, like, politics and meaning who I why like, but when you look at what our two leaders have done, you have to come in, and I know there's good and bad and I know there's a lot of comments about like how things change or how the programs are changing and so forth. But you also have to understand these are unprecedented times. Nobody, nobody had anything in place for something like this. Nobody could guess So for given the situation given thehow quickly this ruin, you really think about how quickly this pretty much turned on. I I'd like to look at them and say, You know what, you did the best you can and yes, we're still figuring it out. There's been programs and I know there's been people are like, Oh my goodness, so many changes we have because there's so many scenarios. So you it's hard to have a blanket program that suits everybody. So, yeah, it's dynamic. It's literally every day this thing has been changing. And, you know, you give you give somebody the Serb, you know, the $2,000 a month thing and then it's like, well, that doesn't include ABC people. Okay, so they looked at it now they include ABC and I know for those ABC type of people, they were pissed off. But you also have to understand that again, to think of it They were in an area they were learning to yes to think of every scenario is almost impossible. Yeah. And I know when we're in that state, it is a very scary time because we don't know how to pay our next bills. So when you're kind of left on the outside of the box that they included the cert four, I get why you're mad. But you also have to have a little bit of an understanding that like you just said, ever This is new to everybody. Or then there's the you know, the the wage subsidy and who's included in that and that's been shaped to this date. I got it today. I got a new email about new hires. If you're not that, that I'm in that boat, but if you were to get a new hire, if you have contract employees, how bad yeah, changes everything But overall, when I look at how they they've even held themselves there, their tone, their their quickness, so to speak, and I truly believe when you think about it's only been two and a half months. So everything that's been in place, right? At least speaking has been pretty quick. Yeah, it's two and a half months has nothing to change what has changed two and a half months. And when you think of how long and in a normal pre COVID time it would take to to get a policy passed. And to instill this policy, it would take months, things have changed literally in two and a half months, the CRA how quickly it is, like they had to put these programs in place, pretty much at the snap of a finger, or else people would be like in dire straits. So overall, I think things have been going well. And it's it's hard to say, you know, obviously, you know, the aftermath is we'll deal with but in terms of the quickness in terms of what they've put in place. I think they've done a pretty substantial job.

Antonio Leal 1:02:53

Yeah, fantastic. Well, you know, we're almost the wrap here, Mr. Phil, I think you're going to a wrap. It's been an amazing An amazing interview with you have got to know you so much more in your journey. And you know, Alison's lucky to have you and I can tell your passion for Alistair. She has immunity. You left me a note that you had what do you want a little giveaway or something?

Dr. Fil Tiburcio 1:03:18

Yes, I will put in I'm putting in a little health care package together. It'll include everything from rubs hot, cold pack, some some exercise band some exercises. But I'm not giving it away just for giving it away. No, no, you have to listen to the podcast and you have to share it on social media. Every time you do so Antonio will be putting in leave a comment. We'd like to comment.

Antonio Leal 1:03:43

Perfect. There you go. Right. Those are the rules. Okay, awesome. Awesome. Well, thank you. Filter Berkey Oh, Dr. Filter Berkey thank you and physio med. You know I love you. I love what you're doing in this Christianity. It's it's just really, really awesome. Anything else you want to say? Anyone out there?

Dr. Fil Tiburcio 1:04:01

No, it's uh i want to thank everybody number one. I want to thank our all the docs, everybody working at that hospital all the frontline workers, and it shouldn't only be the hospital, everybody, everything from Johnny Wong into pharmacies, everybody that was considered essential. The fact that I can go into zehrs and go into Walmart totally and get everything I want all the small businesses that have somewhat adapted to this craziness. Kudos to you. And to my patients. Can't forget them. They Monday think it was Monday. No. last last week, Beth put out a my wife put out some social media saying that Cairo's are back and physios. Yeah, and it was pretty much instantaneous that we got phone calls and emails. So I want to thank my patients because without them I'm nothing. So thank you, everybody

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