Parents in Fight-or-Flight Don’t Buy; Predictability Does - Episode 4
Release Date: 12/15/2025
The Cranial Doc | A Chiropractic & Cranial Mastery Show for Pediatric, Family, and Neurologically-based Chiropractors
If you’re running Google Ads — or paying someone else to — this episode might save you thousands. In this episode, Dr. Anthony Pellegrino breaks down exactly how he thinks about Google Ads for a scaling chiropractic practice — what actually matters, what’s a complete waste of money, and why most agencies quietly bleed you dry while blaming “a bad month.” This is not theory. This is in-the-weeds, hands-on, do-it-yourself (or at least audit-your-agency) strategy. We cover: Why Google Ads should be your first paid traffic channel (especially early on) High-intent vs low-intent...
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Most chiropractors don’t have a team problem. They have an ownership problem. In this episode, Dr. Anthony Pellegrino walks you straight through the exact framework he uses in quarterly board meetings to stop being the bottleneck in his practice — and how he’s preparing his team to win without him in the building. This is not motivational fluff. This is real CEO work. You’ll learn: Why charisma, hustle, and “being really good clinically” all hit a ceiling The difference between reporting metrics and actually owning outcomes How core values audits expose cracks in your systems...
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Most people think the gag reflex is a “mouth thing.” It’s not. It’s a brainstem survival reflex — and it shows up in different outfits depending on age: Babies gag, cough, fatigue, pop off the breast/bottle Toddlers melt down during oral care Adults “don’t gag”… they just clench their jaw like they’re trying to crack walnuts in their sleep The dentist? That’s where the whole system gets exposed In this episode, I break down the actual neuroanatomy of the gag reflex (CN IX → brainstem → NTS → CN X + friends), and why the real clinical issue isn’t the...
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If you’re paying for traffic… Paying for ads… Paying for SEO… …and your phone rings when the office is closed? There’s a very real chance you’re lighting money on fire. In this episode, I break down one of the highest-ROI automations we’ve ever implemented — and why most chiropractic offices are systemically designed to lose leads they already paid for. This isn’t theory. This is exactly how it runs in our practice. What we cover: Why missed calls are more dangerous than bad ads The simple text-back system that salvages after-hours leads How we separate active...
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Let’s get uncomfortable for a second. If your ads are “working”… Your practice is growing… But your bank account feels tight as hell — You’re not crazy. Your math is lying to you. In this episode, I break down the exact mistake I made scaling ads, why “lifetime value” nearly wrecked our cash flow, and the one number that finally let us grow without stress-sweating payroll every month. This is not agency theory. This is in-the-trenches, real-practice math. In this episode, we cover: Why ROAS is a lazy metric (and why agencies love it) The difference between looking...
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Most TMJ cases aren’t jaw problems. They’re full-body stability problems that just happen to show up at the jaw first. And if you keep adjusting the same areas without accounting for pelvic stability, airway mechanics, and cranial strain patterns, the results won’t hold. This episode breaks down the actual mechanisms that make TMJ care succeed long-term — and why your sequence matters more than your technique. What We Cover: Bottom-up vs top-down TMJ mechanics Why pelvic instability drives clenching, rigid spines, sympathetic tone, and patients who feel like they “fall...
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Let’s cut the crap — most chiropractors are still explaining colic like it’s a gas bubble with an attitude problem. But if you’ve actually looked at these kids, you know the truth: this isn’t a tummy issue… it’s a brainstem issue hiding in plain sight. Today we’re diving into the mechanism behind colic that almost no one in pediatrics is talking about — vestibular dysregulation — and why it perfectly explains every single symptom you’re seeing in practice. Inside this episode, we break down: The 2021 Høve study that changes the entire colic conversation Why...
info_outlineThe Cranial Doc | A Chiropractic & Cranial Mastery Show for Pediatric, Family, and Neurologically-based Chiropractors
Let’s get brutally honest — your pediatric Day 1/Day 2 is probably stressing parents out more than their kid’s sleep regression. And stressed parents don’t buy. They freeze. They ghost. They “need to talk to their spouse” (even though the spouse is literally in the next room). That’s why today we’re ripping apart your pediatric intake flow and rebuilding it into something that actually works in 2025 — predictable, scalable, and parent-nervous-system–friendly. Inside this episode, I break down: Why every pediatric consultation should happen on Zoom (yes, every one) ...
info_outlineThe Cranial Doc | A Chiropractic & Cranial Mastery Show for Pediatric, Family, and Neurologically-based Chiropractors
Unmasking ADHD with Cranial Chiropractic Care Ready for a clinical breakthrough? Today's episode dives into how a narrow airway and cranial structure changes in ADHD patients might be the red flag you've been missing in your practice. Dr. Anthony Pellegrino shares a jaw-dropping study and breaks down its implications for pediatric chiropractic care. You'll discover why sleep quality matters more than you think, how disafferentation impacts ADHD, and the often-overlooked role of cranial adjustments. It's time to elevate your practice with data-driven insights, raw truths, and actionable...
info_outlineThe Cranial Doc | A Chiropractic & Cranial Mastery Show for Pediatric, Family, and Neurologically-based Chiropractors
Mastering Cranial Chiropractic: The Next Frontier In this episode of the Cranial Doc podcast, Dr. Anthony Pellegrino sounds a clarion call to pediatric chiropractors, emphasizing the urgent need to address the rising tide of neurodevelopmental and behavioral disorders in children. He highlights the prevalence of anxiety, ADHD, sleep disorders, and more, arguing that true healing lies within our ability to unlock the body's natural potential through chiropractic care. Dr. Pellegrino critiques the profession's reliance on gadgets and fancy tech, advocating instead for a deeper understanding and...
info_outlineLet’s get brutally honest — your pediatric Day 1/Day 2 is probably stressing parents out more than their kid’s sleep regression.
And stressed parents don’t buy. They freeze. They ghost. They “need to talk to their spouse” (even though the spouse is literally in the next room).
That’s why today we’re ripping apart your pediatric intake flow and rebuilding it into something that actually works in 2025 — predictable, scalable, and parent-nervous-system–friendly.
Inside this episode, I break down:
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Why every pediatric consultation should happen on Zoom (yes, every one)
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The real reason parents shut down during your in-office Day 1
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How chronic fight-or-flight changes decision-making — and how to work with it, not against it
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Why “don’t talk about their kid’s struggles in front of them” is more than a nicety — it’s psychology
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The 3-appointment structure that eliminates drop-offs and builds momentum
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How deposits protect doctor time AND increase commitment
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The Watch & Wonder conversation framework (aka how to set expectations without overwhelming them)
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The exact moment you should start building the value stack — and why it’s not the ROF
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How reading back their exact language builds more trust than any scan, chart, or clever metaphor
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Why predictability is the #1 currency in pediatrics (not analytics, not charisma, not clinical flexing)
Big Takeaways:
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Parents in chronic stress don’t need more information — they need predictability.
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Zoom consults remove distractions, create safety, and let you actually listen.
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When you build the “yes” from Day 0, the ROF becomes a confirmation, not a sales pitch.
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Repeating their language back is the most powerful clinical tool you’re not using.
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If your system creates uncertainty, your conversions will expose it — every time.
00:00 Introduction to the Cranial Doc Podcast
00:35 The Importance of Email Series
02:12 Transition to Podcasting
02:41 Focus on Pediatric Care
03:38 Implementing Zoom Consultations
05:11 Challenges and Solutions in Pediatric Consultations
07:29 Detailed Process for Pediatric Care
11:05 Building Predictability and Trust
18:20 Concluding Thoughts and Call to Action