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Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
March, 2001, Vol. 01, Issue 03
Creativity and Cooperation
By Keith Eric Grant, PhD, NCTMB
Ten evenings of filmmaker Ken Burns's documentary on the history of jazz have impressed me in ways that spill over from the purely musical. Interwoven within the sound clips, biographies, and cultural history were themes on creativity and cooperation. I believe these themes are important to massage as we continue to explore, and struggle with how best to create an attitude and context for our own learning and practice. Using these themes from jazz as a lead-in, I'll give a brief overture to some observations on creativity and cooperation from drawing and systems thinking, leaving more thorough development for future columns.
One theme vividly expressed by the documentary was how much the ability to create and innovate depended on inner drive and on exposure to other innovators in short the creative context. When a situation became stagnant and overly formalized, the cutting edge of innovation moved on to a new source and venue. A second theme expressed throughout the series was the delicate balance between implementing individual agendas and being sensitive to the feedbacks and interactions with the total system of other musicians participating in a session. Wynton Marsalis most clearly gave voice to this balance:
A final theme from jazz that I want to underscore is the respect and acknowledgement given to individual virtuosity, rather than to a common standard. Bandleader Duke Ellington orchestrated his compositions to showcase the particular skills of members of his band, rather than for generic trumpeters, saxophonists, and drummers. As massage therapists, we too will benefit from respecting and giving appreciation to each other's massage skills and approaches, even when they differ substantially from our own goals and practice. Being dismissive and coercive are sour notes.
Playing music requires mastery of individual phrases, which in turn requires mastery of individual notes and relations between them. Slowing down to perceive the details is not unique to music. Art instructor Betty Edwards (Drawing on the Right Side of the Brain) observed that she could talk about drawing or she could draw, but that it was extremely difficult for her to do both at once. She hypothesized that a shift in processing mode was occurring. When she was talking, her mind was operating in a verbal-symbolic mode that largely ignored details. To draw successfully, she needed to shift away from symbols into a mode of perception that attended to the details of lines, shapes and shading. We make this same shift when moving from the concept of a muscle into feeling it take form beneath our fingers, as a client engages it ever so slightly.
Professional negotiators have made parallel observations. The inability to find consensus often stems from becoming stuck in symbolic positions, rather than from irreconcilable differences in actual needs. In debates about massage education, we play out this theme by arguing about the need for hours of education, what I call "round hour syndrome," rather than letting the required hours flow naturally from a determination of the need for specific educational content. When we discuss the need and timing for specific content, the discussion becomes much more concrete and much less postural and divisive.
Jazz improvisation depends on interaction. It is a dynamic process of listening, adding something new, and then listening for the response. At an intuitive level, jazz musicians become masters of systems thinking the acknowledgement of the myriad interconnections and feedbacks between individual components of a total system. Given such feedbacks, you can never change just one thing. Like the musicians in a jam session, all other aspects of a system will respond to any change introduced. If you focus too much on any one area, it's always done at the expense of everything else. Getting the right balance is an art, not a given.
These relatively simple postulates of systems thinking have profound implications for massage education. Massage educators may assume that kinesthetic and interpersonal skills will always be the strengths of entering students. Rather than teaching towards the totality of what we want to produce, we are tempted to simply continue former practices with the application of an enhanced anatomy and physiology "Band-Aid." Not only is this extremely bad thinking from a systems approach, but, as massage attracts a wider range of students, it's often less and less true, even as a first approximation.
Education can act as a filter and an enhancement. Ultimately, our profession will evolve from the details of what we explicitly value and nurture. My hope is that our ears and hearts will be able to hear the value of the melody and the interlacing harmony within our diverse profession. May we remain flexible enough in our personal agendas to listen to each other, and to let those entering our art find their own expression of virtuosity within it.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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