Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
July, 2001, Vol. 01, Issue 07
Health Care as a State of Self-Defense
By John Upledger, DO, OMM
I have a friend who was in a car accident not long ago. Brenda* was cruising down the road at 45 mph when another car suddenly crossed her path. By the time both vehicles crashed to a stop, Brenda's face had been slashed by an exploding air bag and her knees had slammed into the dashboard.She was quickly taken by ambulance to the emergency room of a local hospital.
When she arrived, her face was so swollen you couldn't quite tell what she looked like, and her knees resembled small cantaloupes. The doctors took x-rays, found no broken bones, and promptly sent her home with a prescription for painkillers and advice on how to wash her wounded face.
Fortunately, Brenda is married to a cranioSacral therapist who understood the full effect of such a serious impact to the soft tissues. He immediately began icing his wife's knees by the hour to help bring down the swelling. He gave her warm Epsom salt baths to decrease systemic muscle soreness, and he used his hands to gently release the tissues that had recoiled from such a strong blow.
By addressing the soft-tissue injuries as soon as possible, his chances of helping his wife avoid long-term, debilitating pain multiplied exponentially. Still, they were both sure they'd get even more advice when they visited their family doctor two days later.
Indeed, the doctor gave Brenda one more prescription for inflammation - but that was about it. Surprisingly, there was no mention of the most obvious and least expensive courses of treatment: ice; hot baths; massage therapy; and craniosacral therapy. Instead, Brenda was given one more drug and told to wait it out. If the pain didn't subside, she was told, an MRI might be next. After that, who knew?
Thankfully, Brenda had armed herself with a full spectrum of healthcare information. Rather than remain passive, she chose to seek out other options she knew were available to her. She received neuromuscular therapy to release the muscles that had convulsed in an effort to protect her joints and bones. She received myofascial therapy to relieve the trauma to the tissues that ran like a web throughout her body. And she received more craniosacral therapy to alleviate any pressure on her brain and spinal cord, and help ensure that her central nervous system was free to facilitate a full recovery.
It's possible none of that may have happened if Brenda had simply taken her doctor's advice at face value. Unfortunately, it seems that health care these days has become a matter of self-defense. We have moved so far away from the wise family physician who cared for us from the time we were babies, approaching each malady with concern and common sense. Instead, the medical industry appears to be sliced up into small slivers, with each professional tending to focus on his or her own small segment.
In this case, the ER doctors were there to see that no bones were broken. The primary care physician was there to dispense the medication. And (thank goodness) Brenda's family was there to help her address the problem from the point of whole-body wellness. Now, after a series of simple, inexpensive measures, Brenda is well on her way to a full recovery. If she had taken the advice of only her allopathic doctors, she might still be in bed.
All this is to say that no one will ever tend to your health the way you can. As both practitioners and patients, it remains up to you to know what your choices are and demand them. This may seem obvious to you as holistic healthcare practitioners, yet I'm continually surprised at how many people are "stuck" in the general health care system without fully appreciating this point.
Yes, there are many good doctors out there who do everything they can to take care of their patients. (And believe me, insurance companies aren't making it easy for them.) But as I've said in the past, it's the patient's needs that should dictate the course of therapy. You play a crucial role in this state of self-defense.
By the way, by Brenda's third doctor visit, she finally asked if some type of massage therapy wouldn't help her heal faster. "It certainly could," came the reply, "but insurance probably won't pay for it." That may or may not be true, but that's a topic for another column altogether.
*Name has been changed to protect patient confidentiality.
Click here for previous articles by John Upledger, DO, OMM.
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