Are You a Two-Percenter?

Ninety eight percent of chiropractors are scratching at the crowded bottom of the ladder for the crumbs thrown out to our profession by insurance companies and Medicare. They either don’t know a broader market exists or they don’t have the confidence to go after it.

There is, however, a marketplace full of people out there who are frustrated with mediocrity, are looking for the exceptional and are willing to pay for it. There is always room at the top of the ladder for those who want to serve by providing exceptional care.

If you have a desire to achieve the extraordinary, if “good enough” is not good enough for you, then you are a “two-percenter.” Come join with me and I will help you to be the best you can be.

Many years ago I asked one of my mentors why all chiropractors were not anxious to learn the advanced techniques he was teaching.  I was excited about it and couldn’t understand why others weren’t.

He told me that in any group there is a small percentage of people who have the desire and drive to be the best they can be.  He called them “The Two Percenters.”  These are the people who are willing to spend the time to do the hard work and perfect their skills in order to provide their patients with the best care possible.

This is the mark of the consummate professional.  Being a professional is not just about being paid for a service that requires specialized training and skills. It is a mindset and unwavering commitment to excellence.

Every doctor enjoys the prestige that goes along with their title.  There is no question that the title “doctor” in front of your name assures some level of deferential treatment in most social venues. The public looks up to doctors as accomplished professionals. Let us do everything we can to live up to the image and performance that professionalism implies.

Professionalism is the pursuit of excellence.  It is a lifelong quest, not a destination. The greatest rewards are not monetary, but come from knowing that you have made a difference in the lives of others. Your sense of accomplishment will be sweetened when you are able to achieve results in cases where other physicians, surgeons and therapists have not been successful.

When you establish a reputation for outstanding results in challenging cases, you will eventually find that referrals will come to you not because you are a chiropractor, but because you are the doctor who gets results when others do not.

If you want to be a Two-Percenter, please join me for a Koch Seminar.  Koch Advanced, Integrated Chiropractic Techniques is offering a three part seminar series – Seminar 1 —  May 19, 20, and 21 in Mount Dora, Florida.  Email me at or call 352-729-2678.  For more information

Spend your time, energy and money on perfecting your skill sets instead of on buying unnecessary equipment.

Class Size Limited to 8 so each attendee can grasp and master the material and techniques. This is a hands-on course and all equipment will be supplied. The fee for each 3 day seminar is $250.

Call today! 352-729-2678   Ask to speak with Kiana.



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Koch 3 Part Success Seminar

So, I am finally doing a seminar.  And I think it is going to be very special. It certainly is not going to be like anything you have done before.  I am planning to do a three part series.  Each seminar in the series will last 3 days.  I am limiting attendance to 8 participants to maximize the amount of time and attention I can spend with each doctor.  This will be a real “hands on” experience, with each doctor getting to experience the way I work, with plenty of opportunity to practice the Koch protocols as a doctor and also to experience my integrated technique approach as the “patient.” In other words, this is not just a lecture and demonstration seminar.

I am working to create the kind of seminar I myself would have loved to have attended years ago.  And I am very excited about it.

While the seminar series will be focused mainly on doctors relatively new to practice, recent graduates and those about to graduate, anyone interested in attending is welcome.

So, if you are graduating soon and are concerned about what direction your career will take,  or if you are new to practice, and are not getting the results you’d like with your patients, and especially if having low overhead and more time to spend with your patients is important to you, then this is your seminar series!

You Don’t Have To Have:

  • Large Capital for Starting
  • High Overhead
  • Large Staff
  • Lots of Equipment
  • Insurance Woes
  • Lots of Stress
  • Work So Hard You Injure Yourself

You Can Have:

  • A Physician’s Salary
  • A Referral Practice
  • Low Overhead
  • Low Stress
  • The Satisfaction of Providing 5 Star Care
  • The Life You Dreamed About

The Koch 3 Part Success Seminar Series is an advanced technique and practice management course that will cover:

  • How to shorten your learning curve to get consistently great results.
  • How to provide the kind of care you would want if you were sick and in pain.
  • How to create a cash based practice.
  • How to do more with less.
  • How to set yourself up for success.
  • How to use local networking to build your business.

Again, if having a low overhead, lucrative practice that allows you to spend more time with patients and provide superior care with consistently great results is important to you, then this is your seminar series!

Please join us at Seminar 1  on May 19, 20, 21 in Mount Dora, Florida.

Spend your time, energy and money on perfecting your skill sets instead of on buying unnecessary equipment.

The cost of each three day part of this series is only $250!

For more information check out

Class Size Limited to 8 so each attendee can grasp and master the material and techniques. This is a hands-on course and all equipment will be supplied.

Call today! 352-729-2678   Ask to speak with Kiana.

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Are You Ready… To Elevate Your Skills, Practice & Patient’s Lives?

If you answered yes, you are at the right place!

  • Are you graduating soon?
  • Or new to practice?
  • Have you been frustrated with not being able to get patients better fast and NOT complain that their problem comes back as soon as they leave your office or when they simply lifted something light?
  • Are you frustrated with the different practice management companies telling you in order to succeed you will need to see a thousand patients a week and do countless spinal screenings? Does that make your stomach crawl?
  • Do you feel uncomfortable with seeing patients only a few minutes each and then moving on to the next one?
  • Worried about what’s next after graduating?

My name is Dr. Bill Koch and I’ve been in practice for over 50 years and have had several very successful practices in the USA and the Bahamas. During my long career I studied with some of the great teachers, innovators and pioneers in our profession. The knowledge I have accumulated over the past half century has allowed me to develop my own unique technique protocols and to successfully treat patients who have been disappointed with previous chiropractic, medical and surgical care.

My objective in teaching these seminars is to share the knowledge and experience I have acquired and to shorten the learning curve and hasten road to success  for a new generation of chiropractors.

A wise Chinese proverb states: “A smart man learns from his mistakes, a wise man learns from others.”

My mission is to elevate the level of healing consciousness and mindset in each doctor. We must practice each day in pursuit of excellence and our practice must be patient focused and patient centered. We must always remember we are there to take care of them, and we  must do our very best with each patient every time. Each time a patient leaves our office they should feel that our focus was on them and their individual needs and that they were well taken care of.  When we do this for our patients they eagerly tell friends and family about their great doctor. And that is the best, most effective kind of advertising we could hope for.

When you decided to become a doctor, did you picture making a true difference in people’s lives?

Did the thought of seeing miracles excite you?

Do you desire to have your patients trust you and refer to you?

Have you envisioned having a referral practice?

The Koch Advanced Integrated Chiropractic Technologies seminar series will see that you can answer yes to the above questions and more.

Some of the things you will learn in this seminar series are:

  • How to get results that take doctors years to accomplish.
  • How to create a cash based practice successfully.
  • How to do more with less.
  • What you need to do from day 1 to be successful.
  • What you actually need and what you don’t need and why.
  • Who you need to introduce yourself to in order to build your business.
  • How balancing the pelvis is fundamental for the long term health and mobility of a patient.
  • How cranial nerves can be examined and treated to make massive changes in people’s lives

In this 3 part series the curriculum will be as follows:

  1. Seminar 1 will cover the basics of the technique including my approach to the first visit examination, consultation and treatment. I will demonstrate my integrated technique approach which includes many of the techniques I have learned over my years in practice which includes a variety of technique approaches to the use of instrument adjusting.  The main focus of this first seminar will be balancing the pelvis.  To start making remarkable changes in your patients, you must first be sure they have a stable foundation — the pelvis.
  2. Seminar 2 will consist of a brief overview of seminar 1 material again and then we will go over the examination and treatment of the thoracic and cervical spine.
  3. Seminar 3 will be a brief overview of the previous 2 seminars and then we will cover complex cases, additional practice management topics and fine tuning each doctors technique and answering their questions.

At the end of each seminar, you will be ready to go back home and start implementing it with your patients. A seminar is no good if it cannot be applied the next day. These seminars are built upon each other so you have a solid foundation and will be capable of treating the most challenging of cases that walk into your office.

There is NO excuse for not being the best doctor you can be.

Call today because each seminar only has 8 seats available. We are keeping it small to maximize individual  interaction with Dr. Koch with time for each participant to practice what they learn.

For more details look at

Or call me at 352-729-2678.  I will be happy to chat with you.

Or if you prefer email:

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The Pelvis and Emotions — Is There a Connection?

Low Back and Pelvic Pain—- Is There a Connection to Emotional Stress?

Every day chiropractors hear patients tell a story that sound something like this:

“Hey, Doc, all I did was bend over to brush my teeth and it felt like I got kicked by a mule. Now I can’t straighten up, can hardly move, it hurts like heck. And on top of that, I feel like the world is caving in on me and I am all out of control and can’t do anything about anything! I mean, I can usually take it. I’m not a wimp, I can take pain. But I can’t figure out why this thing has me so upset I can hardly think straight, I am an emotional wreck.  What’s going on with me?”

When one of my patients tells me some variation of this scenario, I know that the most important thing I can do is to spend a few minutes with them and explain what has happened and why they are having such a surprising emotional reaction. This is especially important if it happens to be a big macho guy who is embarrassed to death because of the tears in his eyes.

I explain that the low back and pelvis is the foundation of your body. Your strength and ability to walk, run, work and defend yourself is dependent upon the strength of that foundation.

If it is knocked out from under you or even knocked out of balance it can make you emotionally out of balance too. Here’s why:

On a subconscious primitive survival level, when our basic physical foundational support fails us it can cause us to feel weak, helpless and frightened. That translates into anxiety and even depression if it goes on for very long.

When we feel weakened, vulnerable and fearful, it is natural for us to be withdrawn and contracted. We tend to shy away from many of the things we normally can do easily, and totally reject taking on anything new or challenging.

These are common emotional reactions to injury and pain especially of the lower back and pelvis (sacroiliac).  There are many great examples I could tell you about to further illustrate this point, but since this is being published in Gary Scott’s newsletter, he suggested that I write about his recent experience.

Gary is a financial expert, writer and teacher. Although he is physically strong and in good shape and exercises regularly, his profession and lifestyle has not required him to do a lot of strenuous physical work. That is until recently, when he and Merri bought several houses in Mount Dora, Florida, which they plan to keep as rentals.

Since several of the houses needed some sprucing up, Gary pitched in to help his property manager Derek with all kinds of handyman chores, including moving heavy furniture.

Being unused to a steady diet of this kind of work caused Gary to sprain and strain his sacroiliac joints and throw his whole lower back and pelvis out of balance. The pain made him uncomfortable, but it was not terrible. What he did not expect nor did he at first understand was how it affected his emotions.

Gary went from being expansive, enthusiastic and optimistic to withdrawn, pensive and pessimistic. Merri was of course the first to see this change in his personality, followed by Derek who had been working side by side with him.

After putting up with the pain for a few days hoping it would go away, Gary called asking me to see him for an adjustment in my new office in Mount Dora.

I was able to quickly diagnose the problem and make a correction to fix it, but Gary did not mention to me how emotionally down he had been feeling. It wasn’t until the next day when Merri called to tell me how much better Gary was feeling that I found out he had been suffering emotional contraction with his sacroiliac slippage and pelvic imbalance.  Merri reported that Gary’s back and hip pain was gone. No big surprise, they expected me to take care of that. What they didn’t anticipate was the complete turn about that occurred in his emotional picture. Merri told me that after his session with me Gary went from being fearful, depressed and wanting to withdraw the offers he had made on two more houses, right back to being his normal positive “can do” self! Both Merri and Derek saw the immediate change in him. Derek even commented on it to Merri, calling her attention to Gary happily whistling as he painted in the next room.

To see Gary’s comments on this go to

So, what happened? They wanted to know. They found it all very curious and mysterious.

I explained it to them this way:

There is a correlation between pelvic imbalance resulting from sprain/strain injury and emotional distress. Specifically, when the sacroiliac joint is sprained and strained, there is alteration of the weight bearing ability of that joint and consequently of the overall body balance and stability. The severity of this condition ranges from mildly to severely painful. In its early stage it may only involve the sacroiliac joint, but with time and increased severity it can extend to all seven pelvic joints, causing widespread low back, pelvic and hip and leg pain.

Since the pelvis is the weight bearing foundation of the whole body, any imbalance or failure of this complex joint system will result in an overall loss of strength and stability of the entire musculoskeletal system.

On a primal emotional level this condition is subconsciously perceived as weakness, vulnerability, and an inability to defend and provide for ourselves and those who depend upon us. When this, our most basic support is taken from us, It causes stress on a deep emotional level. If this lasts for too long it can lead to anxiety and depression. Our ability to survive and thrive, in either a primitive or modern environment, is dependent on our strength and mobility.

On a neuro-physiological level, the pain and weakness associated with sacroiliac/pelvic injuries can cause a shift from our normal autonomic “rest and digest” state to the emergency “fight/flight” mode. This is a very uncomfortable state to be in for even a short period of time. But when it is prolonged it produces a severely stressful conflict between our need to protect ourselves and our ability to do so.

The physical pain associated with a sprain/strain injury to the pelvis can be excruciating, sometimes even greater than the pain of a herniated disc. The good news is that when the proper and precise chiropractic correction of the pelvis is made, this condition can be resolved quickly and efficiently.

It is always gratifying to see how quickly a patient can feel better with a renewed sense of well-being when pelvic function is restored. The speed with which this can happen cannot be explained by the reduction of pain alone, but by a shift out of the “fight/flight” mode back to our normal, relaxed, “rest and digest” state where we can look at our world more objectively.

While on this subject, I should point out that this is a two way street. What I have just described is known as a somato-psychic reaction in which our physical state affects our emotional state. Conversely, our emotional state can also have a powerful physical affect known as a psycho somatic reaction.

Psycho somatic reactions are often mistakenly thought to be a form of neurotic behavior. It is frequently dismissed as being “All in your head.” But, psycho somatic reactions are very real and should not have a negative connotation.

Here is my favorite example of the power that emotions can exert over the physical body:

One summer afternoon in my Hamptons practice, I got a call from Mrs. G. one of my very wealthy patients. She asked me to make a house call to her ocean front estate to see her children’s Nanny who was incapacitated with severe back pain.

Mrs. G was very unhappy when I told her that I would not be able to get there until about 7:00 that evening when I finished seeing patients at my office.

When I arrived at the 10,000 sq. ft. summer cottage, I was greeted at the door by Mrs. G. who quickly escorted me to the children’s wing of the house where the Nanny’s bedroom was located.

I learned from Mrs. G. that the Nanny whose name was Ava, was 26 years old and had worked for her for about nine months and was a very good employee and loved by her children.

I found Ava lying in her bed and in obvious distress. When I tried to obtain the usual health history about medical conditions, medications, surgery or injuries, she was vague and provided little information as to what might have caused her back pain.

As soon as I began my examination, Ava began to convulse violently. Her eyes rolled back in her head she began sweating profusely as her body shook and her right arm contracted tightly against her body as her hand contracted into a tight fist. She appeared to be having a seizure or possibly worse yet a stroke.

I asked to speak with Mrs. G in the next room explaining that if she could not provide me with a good reason for Ava’s reaction, I would be forced to contact the EMTs and have her taken to the emergency room.

What Mrs. G. told me came right out of left field. She said that on the previous day Ava had returned from her vacation which she spent with her two year old daughter and estranged husband who lived in Israel. She went on to tell me that Ava’s husband is a terrorist living in a very dangerous part of Israel, but in spite of this, he has custody of their child. Ava of course was worried about her daughter and horribly distressed about being separated from her.

I went back to Ava’s bedside and told her that I knew about her daughter and that I understood why she was in such pain and distress. “What can we do to help you feel better?” I asked.

“I want to talk to my baby,” Ava replied in a barely audible whisper.

I then asked Mrs. G if she knew the husbands phone number. “Yes,” she said, “but I’m not waking up a terrorist. It’s the middle of the night in Israel,” she said.   I told her “Don’t worry. I will speak with him first.”

I made the call and woke him up. To my surprise he proved to be a very nice terrorist. Very understanding of the situation and concerned about his wife. “The baby is asleep,” he said. “Let me speak to Ava.”

I gave the phone to Ava and held her hand as they spoke. Soon her tight fist and contracted arm relaxed. Within another few minutes she smiled and was obviously comforted by their conversation.

I was then able to proceed with examining and successfully treating Ava. The next day I visited her again and found her much better. The following day she was able to come to my office for a final treatment, and to wrap up what was one of my most bizarre cases ever.

What I had witnessed was the immobilizing effect of an extreme fight flight reaction triggered by what was for Ava, the overwhelming stress of her fear for her daughter’s safety and her detachment anxiety.

Had I not recognized what was really going on, Ava would have been hospitalized and subjected to a barrage of unnecessary tests and CAT scans which would have shown nothing, but would surely have exacerbated her condition.

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The Social Nervous System: Positing a New Branch of the ANS

Dr. Bill Koch Interviews Dr. Jeff Rockwell

Originally published in The American Chiropractor December 2015

I have known Dr. Jeff Rockwell for several years and have written about him in this magazine and in my book, Conversations with Chiropractic Technique Masters. I have studied his work and use many of his technique protocols in my own practice. A pioneer in the use of instrumentation in neuromuscular therapy, Dr. Rockwell is a passionate advocate for blending neuroscience, contemporary adjusting strategies and vitalistic chiropractic philosophy. He has developed his own unique treatment protocols, authored several books, instruction manuals and DVDs and has taught over 400 seminars. He currently practices in Los Gatos, California and is director of The Institute of Manual Neuroscience.

Dr. Jeff Rockwell

Dr. Jeff Rockwell

In this interview Dr. Jeff Rockwell and I discuss recent developments and current thinking in the field of neuroscience.

What we know of the basic anatomy and physiology of the nervous system is well established. Neuroscience now seeks to understand the functional changes and adaptation that has become necessary to deal with the differences between a primitive survival environment and our complex social environment. Employing our hard wired sympathetic autonomic response of fight/flight is seldom appropriate in most of the stressful situations we encounter in modern life. This has necessitated the development of a functional social branch of the autonomic nervous system that has modified and moderated our stress reactions to a level more appropriate to modern social situations.

KOCH: Jeff, the last time I interviewed you for TAC you talked about your interest in the neuroscience behind chiropractic. With all the new research in the field, I thought it was time to talk to you again and get an update on your current thinking. Has anything new captured your interest?

ROCKWELL: As a matter of fact, Bill, something “old” has grabbed my attention. I am still as passionate as ever about the neuroscience behind the subluxation and its correction, but I am concerned that my patients and students also keenly appreciate the role of philosophy in their lives. I am especially excited about what science has to say these days about our unique philosophy.

KOCH: Have you found that the 33 chiropractic principles have stood the test of time?

ROCKWELL: What a lot of people don’t appreciate is that philosophy, by definition, evolves. It’s like the difference between a “dead” language like Latin or Greek and an ongoing conversation with wisdom itself. Philosophy means the “love of wisdom.” If we love something, we wish for it to evolve to higher levels of expression. No one knew this better than BJ Palmer. Towards the end of his life, he expanded our core principles to a total of 75. He wrote his last 12 books in the last decade of his life. Not only was BJ a revolutionary, but he was also an “evolutionary.”But, yes, to get back to your question, I do feel that the 33 core principles are standing the test of time quite nicely

KOCH: BJ and DD were true visionaries. It took almost a century for science to catch up with them validating two of the most basic concepts that they wrote about in their early books. That healing occurs from above down and inside out is proven to be correct because of the polarity of the spinal cord and peripheral nerves.

The safety pin cycle depicting a direct neuronal connection between individual brain cells and tissue cells was confirmed by the discovery of individual micro nerve filaments making the brain cell/tissue cell connection that BJ described.

ROCKWELL: So much of what has emerged in the sciences, from quantum physics to new biology, was predicted by chiropractic philosophy. We anticipated the mind-body connection decades before anyone else, and were among the first to describe the body’s self-healing properties. Philosophy-based chiropractic preceded the “new” biopsychosocial model of health. Much of what is hot today in science was born out of a series of principles that first appeared on the scene in the early 1900s.

DD Palmer was a very hip and progressive guy. Sometimes he is disdainfully referred to as having been a magnetic healer, when, in fact, magnetic healing was the rage among the elite members of society of his time. He was
street-smart, yet better read than most medical professors of his day.
Many people today, as you know, view chiropractic as a treatment for neck and back pain. There may be a place for that, but our greatness lies, in my opinion, in our interconnected set of core principles that provide us with a way of knowing ourselves and our world in a very deep way.

KOCH: The chiropractic philosophy is vitalistic in every sense of the word. It is a living breathing and dynamic study of the expression of life and health individually and in community. Health is the normal expression of life.
ROCKWELL: Absolutely, Bill. Human beings function in a dynamic state of
holism. What we should be focusing on is not what is wrong with a patient, but on finding and returning them to a state of “normal”.

KOCH: How would one go about finding normal?

ROCKWELL: A couple of ways come to mind. First, “normal” is an expression of health, so we look for and orient to signs of health. The objective of chiropractic care, as I see it at least, is not just to identify and
adjust subluxations, but also to find what is healthy and utilize the biologic fields of health to actively engage a therapeutic process. I believe Network Spinal Analysis has done an excellent job in this area.

Of course, a spine free from subluxation–that is, the perception of separation or lack of connection–is another excellent starting point. The spine is the modulator of perception and consciousness in a human being and we can orient to “normal” by observing the flexibility of one’s control mechanism or autonomic nervous system.

KOCH: Okay, now that’s a mouthful. What exactly do you mean by “flexibility of the autonomic nervous system?”

ROCKWELL: To explain that, I have to briefly discuss the “Polyvagal Theory” which proposes a new way of understanding of the autonomic nervous system.

KOCH: Yes, the work of Dr. Stephen Porges.

ROCKWELL: Right. It uses some recent scientific advances to significantly change the previous accepted view of the ANS. Traditionally the ANS has been described as having two branches, parasympathetic (rest/rebuild) and sympathetic (fight/flight). The Polyvagal Theory, named for the anatomical basis of Porges’ discoveries, changes the picture. Now, the ANS has three branches, not two.

Throughout evolutionary history, survival has been the primary criteria: characteristics that enhance survival are perpetuated in subsequent form and function. In the ANS, the parasympathetic system is the oldest, reflecting the survival needs of a primitive passive feeder.

The sympathetic nervous system is a later development, adding mobilization and a wider range of possible survival responses.

Porges has shown clear evidence of a third, more modern branch of the ANS, with a survival value specific to more sophisticated animals, especially primates. “Social Nervous System” is the proposed term for this third branch of the ANS.

As brain complexity increases, it takes much longer for newborns to become self-sufficient. In humans, many years are necessary before their enhanced survival capabilities are fully operational. Therefore structures evolved to secure safe and nurturing care for this extended time. Certain emotional affects, specifically the love feelings of mother/baby, are part of this survival mechanism.

The “Social Nervous System” exists as a controller over the sympathetic to enable modulation of the more crude “fight or flight” responses. The anatomy of the Social Nervous System consists of tools that bond a newborn to the mother. These include voice, hearing, visual contact and facial expression. Healthy babies feel safe or connected with their caregivers. Betrayal by or alienation from the caregiver feels immediately life-threatening, and justifiably so.

Porges also shows that under stress, the human system tries its newest “equipment” first. If that doesn’t work, older strategies are attempted, and if they don’t work, the oldest resources are employed. Therefore under stress, the human first uses its social/relational tactics, then fight/flight, then immobility to survive.

KOCH: This is very important information because stress is such a dominant factor in the lives of so many of our patients. Understanding the progression of our own and our patients response to stress is of great value to all practicing doctors.

I have had cases in which the patient’s stress was so acute and severe that they went into the immobility reaction to it. It appeared that they were having a seizure or stroke. Had I not recognized it, and quickly figured out how to effectively defuse the situation, the patient would have been hospitalized and subjected to a barrage of expensive and unnecessary medical diagnostics that would have never addressed the underlying stress causing the problem. Helping our colleagues to better understand and deal with the stress they see in their patients would be of great value.

ROCKWELL: Porges describes the use of “portals,” or anatomical components of the ANS which can be physically stimulated. For example, the portal for the parasympathetic, based on anatomy, is the vagus nerve and the upper and lower portions of the spine. For the sympathetic, the muscles of the limbs, and the sympathetic chain along the spine are highlighted. For the Social System, Cranial nerves V, VII, IX, X and XI can be used. My students working with these portals in the past couple of years have found this very promising.

KOCH: I appreciate this introduction to your work in this fascinating new area of neurology. I am sure, based on my own experience working with the cranial nerves and their rehabilitation, that what you are saying is correct.

I believe that the recognition of a social branch of the autonomic nervous system constitutes an important breakthrough in understanding our neuro-physiological responses. It certainly explains the responses that I have seen many times in my patients who were under exceptional stress.

Jeff, do you have any parting thoughts you would like to share with our readers?

ROCKWELL: Yes, I do. First, I want to thank all of the great chiropractors
out there serving their communities with their hands and hearts.

And I would like to finish by asking each of us, if we are not already doing so, to adopt a personal, self-reflective practice and draw upon this level of attention as we provide excellent chiropractic care.
Chiropractic is “consciousness medicine” and our consciousness and intention influences our perceptual abilities and the overall quality of our adjusting. I believe B.J. called it the adjustment with “something extra.”

KOCH: I agree and would add that this is the essence of what is often referred to as the “healing consciousness”. It is the state we are operating in when our intentions and our efforts are focused on the highest good for our patients.

Many traditional chiropractors will resist or be angered by the word medicine being associated with chiropractic, because they equate it with organized AMA/ Big Pharma Medicine that has been the avowed enemy of our profession for more than a century.

I think we should point out that the generic or traditional meaning of the word medicine, as you are using it, is as might be used by native healers whose art is directed at facilitating the body’s innate healing response through natural means.

Thanks, Jeff, for another inspiring and thought provoking interview.

ROCKWELL: Thank you, Bill, for all you do for our profession–not only serving your own patients so well, but getting ideas like these out to our community!





© copyright 2015 Dr. William H. Koch

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Stand Taller, Look Better and Live Longer

Stand Taller, Look Better and Live Longer:  Improve Posture, Flexibility, Core Strength, Upper Body Strength and Aerobic Capacity with Unique Exercise Program developed by Dr. William H. Koch.

Exercise with Dr. Koch every Monday during the month of November at the Parks and Recreation Building at the park on Donnely and 5th in downtown Mount Dora.

Stand Taller – Live Longer

Posture: There’s More to It  Than Meets the Eye

In this four class series offered through the Mount Dora Parks and Recreation Department, Dr. Koch will discuss the importance of good posture and how to achieve it. He will teach how you can use posture exercises as part of a daily exercise and fitness routine – so that you can Stand Taller and Live Longer!

Level one is designed to prepare the spine and body structure for more advanced exercise. The objective is to increase body flexibility and resiliency and to prevent injuries that so often accompany more advanced exercise programs. It is suitable for seniors and people with existing back problems.

Level two is a bit more challenging, but all exercises are done lying down to protect and support the spine.

The Koch Spinal Exercises and Multi- Plane Coupled Motion Exercises were designed to address several of the most important aspects of fitness: Posture, Core Strength, Upper body Strength, Aerobic Capacity, and Flexibility.

  • Classes will be every Monday in November beginning November  2    
  • 1pm to 2pm at the Donnelly Park Building.
  • Fee for the class is $10 for Drop-in or $40 for the month.
  • You will need:
  • An Exercise Mat
  • 2 Hand Weights (3 to 5 pounds depending on your strength level)
  • Pool noodle rolls will be provided by Dr. Koch


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FCA National Convention and Palmer College Florida

FCA National Convention and Palmer College Florida

The past two weeks have been very busy and rewarding for me and my wife, Kiana. They were highlighted by the annual FCA Convention and a technique class I presented at Palmer College Florida.

The FCA National Convention

On the last weekend of August I attended the Florida Chiropractic Association’s National Convention in Orlando. It was a huge event attended by more than three thousand Chiropractors and several thousand more family members and staff.

The continuing education classes were great and I attended as many as I could. When not in class I spent all of my time in the exhibition hall at the booth of Impac Inc., the manufacturer of the instruments I use in my practice.

Not only do I use instrument adjusting extensively in my practice; as a writer and teacher I have long been an enthusiastic proponent of their use.

Instrument assisted adjusting allows a much higher level of specificity and precision in the chiropractic correction of subluxations and extremity faults, and facilitates cranial nerve and myotome rehabilitation procedures.

Better chiropractic corrections change the lives of patients. Instrument adjusting opens the door to an expanded population of potential chiropractic patients who would have previously resisted or refused to see a chiropractor because of fear associated with the sounds and sensations of the traditional adjustment. Instrument adjusting eliminates that barrier and defuses the objections and warnings of MDs who tell patients not to let a chiropractor “crack your neck or back”.

Another major benefit of instrument adjusting is that it saves and extends chiropractor’s careers.     The stress on the chiropractor’s body is dramatically reduced or eliminated by switching to instrument assisted adjusting.

My own career was resurrected by it after four years on disability due to practice related compression fractures of my spine. That is why I so enthusiastically advocate it to new and more experienced chiropractors alike.

At the FCA Convention I personally adjusted dozens of chiropractors. All complained of difficulty in getting adequate care in their home towns. Many had seen me at previous FCA conventions, saying such things as, “I was hoping you would be here, the adjustment I got from you last year was the best and longest lasting I ever had.”

This is the same kind of feedback I get from my patients in The Bahamas, many of whom come from all over the world.

It is this kind of feedback that has inspired me to share my 48 years of practice experience, expertise and unique protocols of patient examination, analysis and correction with other members of the profession to help them enjoy better results and patient compliance without injuring themselves as I did.

My Presentation at Palmer College Florida

I am especially interested in reaching out to chiropractic students and doctors new in practice. I want to help them be the best doctors they can and shorten their road to a satisfying and rewarding career.

So I was extremely pleased to receive an invitation to present my work to the senior class at the Palmer College in Port Orange, Florida this past Thursday, September 10.

As an introduction to the class, my wife Kiana talked about our experiences practicing for the past fifteen years as The Out Island Chiropractor in Abaco, Bahamas. Our practice was such fun, so unique and totally portable, we thought the students would enjoy a glimpse of it.

The slide presentation of my Adventures in Practice was posted in this blog on September 13. It shows how you can give great care just about anywhere: on boats, in the bush, on the beach, or just about any place you can imagine. Check it out.

Following that introduction, I discussed my idea of ChiroPractice Made Perfect and demonstrated my unique examination and correction protocols. I did a complete new patient examine and corrections on a real patient, one of the Palmer students who has had a difficult and persistent problem since he was in high school.

My protocols, which are unique, totally patient focused and interactive, engage the patient with every part of the examination and correction. That means the patient “experiences” their examination findings rather than just being told about them. Likewise they immediately experience the effects of my corrective procedures, with instant feedback using before and after muscle testing.

This kind of chiropractic care provides a very positive, meaningful and memorable experience for the patient. It also provides the doctor with the opportunity to very specifically document what he did and the effect it had on the patient, which is very useful to reference during future visits, as well as for medico legal purposes.

I thoroughly enjoyed my time spent with these students, and they seemed to enjoy it too, since many stayed long after the class was officially over. And several indicated interest in spending more time with me in smaller, hands on technique seminars, which Kiana and I are organizing now and hope to begin offering in October.

I am very excited about doing more of this kind of teaching, since I feel that the most important thing I can do at this point in my life and career is to share my knowledge and experience with the younger members of the profession.

If you are interested in attending, please send me an email at











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The Out Island Chiropractor’s Adventures in Practice

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Detoxification with Dr. Edward Group III

Detoxification with Dr. Edward Group III, originally published by The American Chiropractor June 2015

By Dr. William H. Koch

The chiropractic profession has a rich history filled with uniquely gifted individuals. Beginning with the founders, DD and BJ Palmer, each generation of chiropractors has brought forth people of extraordinary intelligence, vision and courage. We refer to them as pioneers. They blazed new trails and cruised into uncharted waters allowing us to be where we are today. We are the beneficiaries of their work.

Chiropractic, at 120 years of age, is still very young as a healing arts profession when compared to allopathic medicine, ayurveda and acupuncture which have existed for millennia. Pioneering is still going on in chiropractic as members of our profession with a unique combination of extraordinary abilities engage in research and development of technologies that benefit us and our patients.

In my series of interview articles I have been proud to introduce notable colleagues who the average, busy, practicing doctor might never have heard of otherwise. It is my pleasure to showcase their work.

Dr. Edward Group, IIIIn this Interview with Dr. Edward Group III, author of The GREEN Body Cleanse, you will be introduced to an innovator and maverick in the field of natural healing. Dr. Group is a chiropractor, naturopathic physician, biochemist and researcher.

The son of one of Exxon’s top chemists and developer of things like Saran Wrap and PVC plastic, Dr. Group first aspired to be a cardiac surgeon. However, when both of his parents died of cancer at an early age, his interest was diverted to the cause, cure and treatment of cancer. He chose to pursue his doctorate in chiropractic because of its natural and vitalistic philosophy, science and art.

In 1998, soon after receiving his Doctor of Chiropractic degree from Texas Chiropractic College he opened a clinic in Houston, Texas. His overriding interest in cancer led to studying the natural cancer treatment protocols used by clinics in Mexico, Germany, Switzerland and Austria. The information acquired from studying those protocols as well as from his chiropractic education and background in chemistry, led him to an understanding of the fundamental importance of detoxifying the body in any program aimed at eliminating disease, and most especially cancer. Utilizing this knowledge and philosophy to create his own protocols for cancer treatment, Dr. Group’s clinic started to get phenomenal results. Word of the success of his protocols spread rapidly, drawing patients from all over the world.

Unfortunately, he also got the attention of the FDA who shut down his clinic and seized his records and equipment with the order to cease and desist. Realizing he could not fight the Federal Government and FDA, he re-strategized with a new focus on helping the body to heal itself through what he determined to be the common cause of degenerative disease, systemic toxicity.

KOCH: I am pleased to introduce my esteemed colleague, Dr. Edward Group. Ed, your journey is fascinating and your story is like an adventure novel.

In our limited space, please give our readers an overview of your work as it exists today and the conclusions that you have drawn.

GROUP: Detoxifying and cleansing the body is the most important thing we can do to give the body the upper hand in overcoming just about any disease or condition you can think of. We live in a sea of toxins that saturate our food, air and water. It is virtually impossible to escape them. But if we are to survive and experience any reasonable level of health, we have to recognize their existence and do everything necessary to get them out of our bodies.

KOCH: Most chiropractors know that what you are saying is true, but the big question is what can we do about it since it is such a pervasive problem. I wanted to talk to you about this issue because I have been very impressed with your work and your passion for healing.

GROUP: Thank you, Bill. You are right, this is my passion and life’s work. The task of detoxification and cleansing is enormous and never ending because we cannot avoid the exposure. Toxins are everywhere.

Because of this we must understand that the job will never be done. It will require ongoing vigilance and effort. It must be undertaken as a matter of not only personal survival, but the survival of our species. It is that serious.

KOCH: I know that what you are saying is all too true. The assault we are under from a multitude of toxins and carcinogenic chemicals in our environment and food is terrifying. So what is your strategy?

GROUP: After many years of research and study I can now say that my approach is simple. But it is certainly not easy.

In the early years of my clinical practice, like everyone else, I used extensive blood analysis for testing and about 260 natural supplements and formulations. Over the years, however, I simplified my approach to a one that does not rely as much on testing or on using a shelf full of supplements into one that puts the major emphasis on body cleansing and detoxification to better enable the body to heal itself. Because that is what I have found works best.

The bottom line is this, Bill: The cleaner the body the more it will kick in its own natural defenses, immunity and healing mechanisms. You have always heard that given the right conditions the body is capable of overcoming any disease or condition known to man. And I am here to tell you that it is true. And I have a huge number of case studies to prove it.

KOCH: I have read your book, The GREEN Body Cleanse, and am personally convinced that your conclusions are correct. If people want to have the chance to live healthy lives they must be proactive. They must be informed, convinced and committed to taking responsibility for their own health. And ready to consistently do what it takes to keep their bodies clean.

GROUP: Right again. Here it is in a nutshell. Toxins are the enemy. The list is almost endless and still growing. We must first prevent as much toxin as possible from ever entering our bodies. I know we cannot do this perfectly, but we have to do the best we can by eating organic, non GMO foods and by filtering our water, which we know is contaminated by chlorine, fluorides, industrial and agricultural chemicals. Most water supplies also contain pharmaceutical residues from such things as birth control pills and hormone replacement drugs which are known endocrine disruptors, as well as residues of psychogenic drugs such as Prozac and other anti-depressant and anti-anxiety drugs which are known to affect people’s minds, moods and emotions. To purge these things from our water supplies requires sophisticated filtration systems such as reverse osmosis or distillation.

However, knowing that even if we consistently do our best to keep our bodies clean we cannot possibly keep all of the toxins from entering.

We must then have a way to get rid of those that have accumulated in the intestines, liver, kidneys and other tissues. Yet we must be sure that the method and products we use to cleanse ourselves are safe. In other words, the “project” of cleansing must be safe, effective and natural – and not add to the toxic load as some of the currently popularized “detox” products do.

The simple solution is to get rid of the toxins and to keep them out with a safe, effective and ongoing program. It is not easy but it is worth it.

KOCH: I agree that it is worth the time and effort to get healthy and stay healthy. A body that is not burdened by toxicity is capable of mounting an immune response that can take care of most diseases that challenge us.

But as you emphasize in your book, unless we keep our bodies clean and as toxin free as possible, they will not be able to do their natural job of self healing.   We as doctors need to do this for ourselves and to encourage and guide our patients to do the same.

Your book provides a great “how to” blueprint we can use to achieve this goal. And I encourage everyone to read it.

Ed, thank you for sharing your knowledge and experience with us today. Do you have anything else you would like to add?

GROUP: Yes, Bill. I must point out that there is another toxin that is harder to get rid of than those in the food, air and water. It comes from prolonged, severe stress. It is the ultimate toxin because it alters our internal environment so completely.

All else being equal, if we are chronically and severely stressed, it is difficult to be truly healthy. Stress is an enemy that we all must fight individually because it can sabotage all of our other efforts to be healthy.

KOCH: I strongly recommend that my readers visit Dr. Group’s website and obtain a copy of his book The Green Body Cleanse available at It contains 329 pages of valuable information about every aspect of detoxifying your home as well as your body using organic methods.

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Brain Purification

I just read a great blog post by my good friend, Gary Scott which I would like to share with you. Gary’s articles are always interesting and inspiring. This article is on brain purification, a subject we were discussing last week.  It is a subject important to us all, especially as we age.

And it reminds us never to underestimate the importance of a good night’s sleep.

Dr. Bill

Brain Purification

by Gary A Scott     Friday April 17th, 2015

Here are three steps you can take that help purify the brain.  I love it when coincidences beat me over the head with important ideas.  Recently three separate events slammed into my day. 
The first was a visit by our Super Spanish teacher, Don Childs.  Don had been researching the importance magnesium has in developing natural health.   I could write an entire report about this subject.  In fact I asked Don if he would.  If I can coax him to do so, I’ll share it with you.Then later the same day Bill Koch a friend and a chiropractor (and much,much more!) who helps me maintain my health balance was talking to me and mentioned the importance of REM sleep because it helps purify the brain.  During REM sleep, Bill told me; “Cerebrospinal fluid flows along arterial channels and removes amyloid plaque”.If you wish to be technical, you can read a report published about this entitled: “A Paravascular Pathway Facilitates CSF Flow Through the Brain Parenchyma and the Clearance of Interstitial Solutes, Including Amyloid β” at US Library of Medicine National Institutes of Health (1).Then Merri sent me an article the same day from Dr. Mercola “Poor sleep promotes Alzheimers” (2).  He covers the importance of REM sleep and calls it a brain enema.The key points in Mercoa’s article are that:#1: Lack of sleep has ramifications that go far beyond not feeling fully awake and refreshed during the day.

#2: Numerous studies have linked poor sleep or lack of sleep to an increased risk of Alzheimer’s.

#3:  One reasons for this link is that the brain’s waste removal system only operates during deep sleep.

#4:  The brain has a unique method of removing toxic waste.

#5: The body pumps cerebral spinal fluid through the brain and flushes waste into your body’s circulatory system where it’s eliminated.

#6:  During sleep this process is ten times more active than during wakefulness allowing your brain to clear out toxins, including harmful proteins called amyloid-beta, the buildup of which has been linked to Alzheimer’s.

#7:  During its active process, the brain spews out toxic free radicals as a by-product of making energy. Sleep is the only time the brain has to catch its breath. If it doesn’t, it may drown in its own biological debris.  Brain cells need a break every night or eventually, they collapse.   Enough sleep is required to produce antioxidants that mop up these potential poisons.

Omega-3 and Vitamin D help in this process because research suggests that they may control brain serotonin.

Animal-based omega-3 and vitamin D can improve cognitive function by regulating your brain’s serotonin levels.

One research paper illuminates links that explain why low vitamin D… and marine omega-3 deficiencies interact with genetic pathways, such as the serotonin pathway, that are important for brain development, social cognition, and decision-making.  Serotonin is also an immediate precursor to melatonin, which has many important health benefits, including a reduced cancer risk.

Serotonin is also an important brain chemical in regulating the sleep/wake cycle.

To have a clearer, sharper and healthier brain, sleep.

Here are the steps that help bring it on… sleep that is and the better, longer lasting, good thoughts it brings.

#1:  Omega 3 Oil.

#2:  Magnesium Oil.

#3:  Sleep inducing essential oils.


(1) A Paravascular Pathway Facilitates CSF Flow Through the Brain Parenchyma and the Clearance of Interstitial Solutes, Including Amyloid β

(2) Poor sleep promotes alzheimers

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