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The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
November, 2001, Vol. 01, Issue 11
People First, Business Second
By Perry Isenberg
After numerous columns dealing with business issues, I wanted to write something a little lighter. While in this frame of mind, I came across some life lessons provided by Ben Franklin that I found interesting and insightful.
The issues he noted generally affect us all: nutrition, fitness, health, wealth, business and marriage (relationships). I trust you'll find them as interesting as I did.
Nutrition: Franklin said: "A full belly makes a dull brain." Why he's right: The gastric acid your stomach uses to digest a protein-heavy meal forms bicarbonate, which alters your blood pH and indeed causes dullness in the brain.
Fitness: Franklin said: "No gains without pains." Why he's right: Weight training creates microscopic tears in muscles, which rebuild themselves (bigger and stronger) while you rest. Soreness is a likely result of these muscle tears and inflammation.
Health: Franklin said: "He's the best physician that knows the worthlessness of the most medicines." Why he's right: Beware of the doctor who dispenses antibiotics as if they were Pez. 75% of prescriptions for upper-respiratory infections are unnecessary, according to a recent study. According to the study, Doctors often prescribe because of patients' insistence, time constraints, and misconceptions about when antibiotics are necessary.
Wealth: Franklin said: "Patience in market is worth pounds in a year." Why he's right: After the last five bear markets, it took only an average of 1 1/2 years for the market to recover. On average, the stock market has grown 10.5 percent a year for 70 years.
Career: Franklin said: "Take council in wine, but resolve afterwards in water." Why he's right: It's okay to brainstorm a project over a beer. Alcohol, when first taken in, loosens inhibitions. Diminished inhibition is the best spur to creativity. But it's important to review those cocktail-napkin notes the next day, to see what will really work.
Marriage (Relationships): Franklin said: "Keep your eyes wide open before marriage, half shut afterwards." Why he's right: Premarital counseling -- or simply talking about their relationships --can help starry-eyed young couples with tough issues like money, kids, sex and religion. After marriage, ignore quirks and show tolerance.
Business does not happen without people. One key to business success is the ongoing commitment to communicate with your clients about a wide variety of issues. Take the time to share when you find something interesting, funny, etc. Make copies and, either in person or by mail, send along the tidbit with a handwritten note. The exercise takes very little time, but helps you stay human within your business relationships.
Before I sign off, I wanted to take a moment to praise all the individuals and businesses that have stepped forward to help with the tragedies that have befallen us.
In the meantime, be healthy, be good, and stay focused and motivated.
Click here for previous articles by Perry Isenberg.
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