Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Acupuncture and the Pulse
In 1991, I attended a martial arts workshop hosted coincidentally by Sung Baek, a martial artist and the head of his lineage as a Korean trained acupuncturist. I was enamored by the details Sung could attain from the pulse, as told to me by some of his apprentices.
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
How One Little Symbol (#) Gets You More Patients
Are you struggling to get more fans or followers for your acupuncture practice? Or are looking for ways to simply connect with your patients? Or do you just want to know how to keep them engaged (comments, retweeting, liking and sharing)?
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
Breath: The Movement of Oxygen and Energy
I remember with surprising clarity the first time a patient started crying during an acupuncture treatment I was giving. This is now quite a long time ago, back in 1999, when I was a student.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
October, 2001, Vol. 01, Issue 10
How to Say "No" When Your Client Says "Yes," Part III
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
Author's note: since this article was written, our lives have been changed forever. For all the people who lost friends or loved ones in the terrible events of September 11, 2001, my heart goes out to you.Words are useless, but prayers are unceasing.
In my August 2001 column, we began to look at the delicate conversation that must occur when a bodyworker observes some sign that renders planned type of session impractical, or even potentially hazardous. What do you do? What do you say? Here's a basic formula:
These three steps can frame most difficult conversations with clients about anything, from an undiagnosed skin rash to chronic lateness. (This column is dedicated to discussing the role of massage in the context of disease and illness, however, so that's what we'll focus on here.) This formula can allow therapists to be kind, compassionate, caring people, who are still allowed to have boundaries for safety and professionalism.
As promised in my last article, here are some further guidelines that should flavor this difficult conversation:
No one looks forward to these conversations, and no one thinks they're easy. But as the number of people seeking massage increases, the possibility of seeing someone with a serious condition gets greater and greater.
Here is a case in point, from one reader:
It is quite possible that the therapist saved this man's life; appendicitis is notoriously hard to diagnose, but she recognized some important signals and terminated the session, so that he could seek the appropriate help.
Here's another example, from Wayne in Palm Springs:
These stories illustrate how close we are all the time to accidentally doing harm, even with the best of intentions. I've received other letters about working with clients who didn't share some important information on their intake forms, or clients who refused to fill out intake forms at all, and other circumstances that made doing massage as a career sound much more exciting than most of us probably planned on!
This issue of "How to say 'No'" seems to have hit a chord with many therapists, and it seems important to keep exploring it. For next time, I have two things I'd like to address:
I have no useful advice to offer Sharon, except that which she had already planned to do: consult with this client's health care team. But since this newsletter goes out to some 95,000 therapists, it seems likely that some of you might have had experience with clients in this situation. Do you have anything you'd like to offer Sharon, or other massage therapists working with clients who have shunts? Thanks in advance for your input!
Until then, good health, happiness, and blessings...
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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