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What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
August, 2001, Vol. 01, Issue 08
How to Say "No," Continued...
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
I am absolutely overwhelmed with the volume and heartfelt quality of your replies to my last challenge ("How do you say 'No' when your client says 'Yes'?").I received dozens of letters from all over the country, from people with extraordinary stories to tell. I was so excited to share with you the wonderful ideas and experiences people have sent me. And then my hard drive melted. I was able to salvage some things, but not, alas, any of my e-mail. It disappeared into the ether. It is gone, gone, gone.
I quickly (well, as quickly as I could think of it) sent a letter to Massage Today, asking if they could put a squib in the July issue to request that my respondents resend their wonderful letters --but of course, I missed the deadline.
So, wonderful letter-writers, if you still have copies of the letters you sent me, could you please send them again? I promise I'll be conscientious and save them not only in an e-mail file, but also in a place where they can be restored if necessary.
In the meantime, I did have a few letters that I have been able to save. It's hard to choose what topic to address, since so many rich ones came up, including...
This month, I decided to try to address the most common theme I heard. Here's an excerpt from a registered massage therapist in Texas:
I respond to these clients by educating them on the effects of a deep tissue massage on a body that has not been prepared for it (extreme soreness, nausea, headaches, flu like symptoms, and the process of how the body eliminates metabolic wastes and toxins from the body, etc.). I tell them that this is not the type of massage they will receive from me, as it is not in the best interest of their body at this time. If a deep tissue massage is what they want to work towards, then we set up regular scheduled appointments to accomplish that.
I refuse to do any type of bodywork, on any client, that I feel is not in their best interest at that time. I would rather lose that client.
My advice is, the massage therapist is the professional and educated person in these situations, and the client relies on us to know what we practice and what is in their best interest. We need to act like the professional educated people that we are, and say "no" when we know it's the right thing to do for that client.
Our profession loses many potential clients due to negative experiences resulting from a therapist not saying "no" when they should have.
Among many important issues raised here is who is in charge of a session. This therapist absolutely nailed my point: in the client-therapist relationship, the therapist is the authority. We are obligated to make decisions for our clients' best interest, even when it's not what they think they want. This writer went on to describe another situation in which massage therapist complied with a client's wishes for a deep tissue massage, against better judgment. The client was injured, she required extensive physical therapy to recover, and she will never seek massage again. How much damage is done to our profession when this happens?
Many writers had wonderful insights about how to frame difficult conversations with clients. Based on these and my own experiences with clients, students, and active listening skills, here are some basic guidelines that are pretty universally applicable:
This is a simple format for difficult conversations that can be applied to a wide variety of problems, from health concerns, to chronic lateness, to someone who has a habit of canceling appointments at the last minute. Sadly, when we're on the spot, sensible communication skills go right out of our heads. That's why it can be useful to have a simple, clear-cut formula for dealing with these difficult situations. In my next article, I'll outline some other communication guidelines that can make these relationships nurturing, fruitful experiences that can allow both therapists and clients to grow and benefit. I will also describe some of the other alarming scenarios that therapists have described to me in recent months.
Again, to those of you who wrote last time, and to any other readers who have problems they would like to see addressed, please, please, please resend your letters! Until then, good health and happiness.
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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