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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.
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?
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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%.
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).
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
June, 2001, Vol. 01, Issue 06
Is the Customer/Client Always Right?
By Perry Isenberg
I was recently in one of those "upscale" coffee houses and saw a small sign on the wall that read: Our Creed -Rule #1 The Customer Is Always Right. Rule #2 When In Doubt, Refer To Rule #1.
Two thoughts occurred to me, the first being that rule #1 is an accepted concept that is not always true.My second thought was that this company is so insecure that they feel the need to reinforce this policy in writing for us to see. Will the sign make me feel better about buying their coffee? Considering I was already in the store, maybe the sign should be posted in their storefront window or always appear in their print ads and radio commercials. It seems a bit silly to me to post this sign inside the store, once I've already made the decision to enter.
One of the many reasons people start their own business is just that -- to own their own business. You will decide who is right and who is wrong with matters pertaining to your business. This includes how you treat your employees, and the type of relationship you want to have with your clients.
I realize that my last few columns emphasized the importance of client satisfaction. In fact, if you recall, I suggested that anything and everything should be done to keep your clients happy, even if you occasionally have to provide a refund or free service.
I believe this passionately, but an incident I was involved in recently made me think that there is a point when, as owners, we may have occasion to stand firm with a client. There is always a chance we may lose the client, but if the client thinks it through, they may just end up respecting your final decision and continue to do business with you.
As a consumer, I've become accustomed to expecting complete satisfaction, to the point that anytime a business does not respond to my needs, I get threaten that they will lose my future business unless they see the issue my way. You can hardly blame me (or any other consumer) for this perspective, considering that mass chain stores like Home Depot, etc., let us return anything months later (even without the receipt) as long as they can resell the item. This type of customer service is very easy to get used to and accept as the norm. Anything less is not good enough.
I recently went to a Sports Authority store to purchase some running shoes they had advertised on sale. When I find shoes I like on sale, I'll generally purchase two pairs to avoid the agony of shopping again for shoes for a long time.
Spending three minutes in a new pair of running shoes in the store is not always sufficient time to absolutely decide if they are right for me. So on occasion, I have had to return shoes after I've worn them around my home for a day or so. If they are not perfect for my hard-to-fit feet, I am able to take the shoes back to Sports Authority and return them without incident.
Once, they had nothing else for me to try on. In a plaza near my house, I knew of a small Athletes Foot store that carries a small selection of shoes that cater to serious runners, walkers, etc. Those of you who know me know I am not a runner, but I needed shoes and thought this store could help with my needs. They had a very expensive pair of New Balance shoes that fit right, but were twice the cost of what I wanted to spend on running shoes, especially just to wear as everyday shoes. I bought the shoes on a Saturday, wore them around the house on Sunday, and they passed the test. I left for a two-week family vacation that week and left shoes at home.
When I returned from my vacation, a postcard was in my mail from the store announcing a 40% sale on all merchandise. The sale started two days after I purchased my shoes, and ended the day after my return. I figured I was in good shape to go to the store and plead my case that I should get the sale price. It is a small retail store, so the owner was there when I showed up at the store. I expressed my concern that the technicality of two days seemed unfair, and that, considering I purchased two pairs, it would be nice if he would honor the sale price. (Which equated to about a $60 refund for me).
He looked straight in my eyes and said, "Sales have start and end dates, otherwise there is no reason for sales dates."
I replied, " I know, I'm in business as well and I'm aware of policies, but I'm also aware of exceptions to rules depending on the situation."
He stuck to his guns, held his position, and I returned the shoes. He lost a nice sale that ended up losing him money -- handling, paperwork etc -- and I lost time because I needed to go again and shop for new shoes. Was the owner wrong or right? Was I wrong or right? I'm not sure.
Send me an e-mail and let me know what you think. In the meantime, be healthy, be good, and stay focused and motivated.
Click here for previous articles by Perry Isenberg.
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