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Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
March, 2001, Vol. 01, Issue 03
The Economic Power of Your Passion
By Perry Isenberg
On rare occasions, a health professional will tell me that they don't use samples or recommend certain products, because they are too effective and may reduce the number of patient visits.
If this is you, find another career.
It does not matter if it is advice and recommendation for a series of stretches, an exercise routine, an orthopedic pillow, vitamins etc if you don't always think of your patient first, find another career.
An important, often-overlooked role of a health professional is that of coach the cheerleader, so to speak.
Four years ago, I herniated a disk and was very concerned about the surgery and the effect it would take on my (very limited) active lifestyle.
Both surgeons (I went for two opinions) suggested surgery could be avoided and my lifestyle maintained if I would drop some weight and strengthen my abdomen and back.Their confidence in me made me achieve the needed goals to control my health. I am indebted to these doctors for life and would fly anywhere they were to perform the surgery if it was ever needed.
My massage therapist (whom I've not seen for over two months just lazy, busy you know the excuses) suggested and provided at no charge a foot roller-massage, and suggested use of a tennis ball to stretch out my foot, to help with my possible case of plantar facsitis. I'm impressed with my therapist, and will recommend her all day long.
Nothing will ever replace the need for a skilled, passionate therapist. Part of your therapy includes empowering your patients to want to care for themselves. This only happens when you give them the tools and encouragement to do so.
In the rare event this leads to fewer visits, fear not, for your existing patients will be recommending you all day long because they know your passion is for patient well being, not just the almighty dollar.
If you're still reading this and I've managed to "make you think," please remain a therapist, coach, cheerleader and healer.
The business lesson learned here is not to think always about today, but to look at the financial side of your business as a growing concern: always trying to plant today's seed for the future harvest.
Our company often finds itself in negotiations with people who think short term and don't understand the future harvest.
More often than not, these companies or individuals come back a few years later saying they wish they would've worked with us to begin with. (If I knew then what I know now.)
For those therapists associated with other health offices, have you ever considered offering a free massage to all new patients to the health office? Seed now, harvest later. Always position your "seeding" as your passion to expose the better health of your patient. A patient cannot benefit from massage therapy without the introduction and education. Obviously, none of us could survive doing free work all the time so limit the "seeding" to an acceptable amount per week/month. We all need the cash register to ring today.
Be truthful, giving and passionate about your work and it shows. Smile and the world smiles with you. The people you introduce to the benefits of massage therapy will return to you ten-fold. Until next month, be healthy, be good, stay focused and be motivated.
Click here for previous articles by Perry Isenberg.
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