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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.
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).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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%.
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.
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.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
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.
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.
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.
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.
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.
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).
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.
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.
May, 2001, Vol. 01, Issue 05
Excuse Me, May I Take This Call?
By Perry Isenberg
A huge portion of the working population really doesn't understand the meaning of "a job well done." A few years ago, I was getting a very relaxing massage (not my current massage therapist) when I heard the phone ring, followed by "Do you mind if I take this call -- I"ll only be a second."
If this ever happened to you and you took the call, do yourself a favor: try to remember the client at the time, and either refund their money or offer them a free session."Yeah, right" you say - after all, it was just a two-second phone call!
I'm serious! As consumers you know full well that you hate paying for things you do not receive. Did the client get a 60-minute, undisturbed session with your full attention? Did you wash your hands after touching the telephone? Why should the service the client pays for be interrupted so you can answer the phone?
There appears to be a current downward slide in the quality level of products and services being offered, and less demands from the consumer.
Everyone knows that the current consumer is more educated, demanding and savvy than in the past. Many factors contribute to this, including a larger-than-ever group of retailers and business people who sought to separate themselves from the pack by doing everything better and more consistently.
This new group of business people has taught us to accept a mistake now and then, but overall to expect more. When you're not satisfied, you should be financially compensated -- a refund. There's a big difference between sufficient, satisfactory and perfect. I say we should only pay for perfect and settle for less as the exception, not the norm.
It seems to me that this higher level of service and quality products is not holding up, and that demanding, savvy consumers are backing down, willing to accept less than perfect. There are many factors accounting for this trend. I believe the primary reason is because the imperfect human cannot consistently deliver perfection. Consumers are tired of looking for perfection, so we are starting to accept satisfactory.
A shortage of time and an abundance of wealth are also a part of the problem -- "I don't have time to shop around, but I have enough money not to worry about value."
The saying, "you get what you pay for," does not have the same meaning it used to. Now, you're still paying premium prices for the "good" stuff, but only getting satisfactory in return.
A friend of mine uses a lawn & garden service to take care of his property. I visited one day and admired his lawn and garden, but asked why he doesn't get the company to blow away all the dead leaves in the garden. His comment was, "the service is supposed to do it, and sometimes they do and sometimes they don't." Of course, I replied, "So I guess you don't pay them for the service call." He looked at me like I was nuts, and responded, "After all, they were here, and they did cut the grass. You can't not pay them because they didn't blow out the leaves."
I hope my point is obvious. My friend's view is to accept 80% of the service and pay 100% for it. This is ridiculous. It undermines the consumer's obligation to set acceptable standards for products and services.
Most of you most likely think I'm being too harsh and overly demanding -- I'm not. I'm also not perfect, nor is our company. We probably make mistakes every day, and when we do, our company finds a way to compensate the customer, to show our regret for the error and our appreciation for their understanding and business.
I don't care how long you've worked with a particular client. Never let your relationship become so informal that you think you can cut corners. You should treat each visit with 100%. Nothing less will do.
In the meantime, be healthy, be good, and stay focused and motivated.
Click here for previous articles by Perry Isenberg.
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