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Chiropractic in Texas Is Under Attack
The profession of chiropractic faces an unprecedented challenge in Texas, an attack that is more aggressive, sustained and dangerous than anything previously seen. The medical lobby has launched a coordinated, multi-front assault.
Correcting Rib Dysfunction: Improve Patients' Pain, Posture and Breathing
As chiropractors, we tend to focus on the spine, and rightly so. Many problems our patients face can be corrected by manipulating the correct spinal level.
Near-Infrared Therapy for Diabetic Neuropathy
The pain experienced by people with diabetes is a symptom of diabetic neuropathy. The impact on quality of life is significant. Pain makes walking difficult, sleep troublesome, and eventually contributes to a decrease in social interaction.
4 Things Every DC Should Know About Levels of Care & Prevention
As health practitioners, we help people with their health problems and assist them with health promotion and disease prevention.
Getting Unstuck: Healing From Trauma With TCM, Qigong & Movement
We all come into this world vulnerable, with seeds to grow into our strength. Some of us — through a combination of good fortune (i.e., family and culture we are born into, constitutional inheritance, or ability to learn) grow with minimal interruption from traumatic injuries and experiences.
AOM Residency at NUNM
Imagine you're a recent acupuncture graduate, worried about making enough income as you forge your new career and seek more in-depth training in a particular treatment style.
Helping Patients With Parkinson's Disease
Parkinson's disease (PD), a long-term degenerative disorder of the central nervous system that mainly affects motor function, has a slow onset over time.
Paperwork Done Wrong, Done Right
I was visiting a doctor's office recently and a member of his staff brought a stack of forms to his private office and laid them on the doctor's desk. She informed him he needed to complete the forms for patients and a few third parties.
House Calls With Dad
My father was a chiropractor and he did house calls. On Wednesday nights, while my mother attended the weekly women's meeting at the Odd Fellows and Rebekahs hall in our small town, dad loaded up the portable adjusting table, fired up the Pontiac and drove off to treat a few patients in their homes. I went with him.
Treating the Lower Pelvis (Pt. 2): Midline Structures and Fascia
My previous article [October 2016 issue] outlined evaluation and treatment of pelvic issues involving the sacrotuberous ligament and the pubic symphysis. Now let's discuss two case studies that illustrate how to address additional problematic areas of the pelvis.
Reader Beware: Consider the Source
The aftermath of last year's presidential elections brought a running conversation on the role played by "fake news" that was largely presented via social media.
Advancing the "Whole Organ" Spine Model
Historically, the human spine has been organized by body region utilizing specific anatomical landmarks and transition zones.
ICA Goes on the Vaccine Offensive
Have you watched the vaccination documentary, "Vaxxed: From Cover-Up to Catastrophe," by Andrew Wakefield MD, director, and Del Bigtree, producer? This is the documentary Robert DeNiro was pressured to remove from his Tribeca Film Festival.
Latest Cassidy Study on Stroke Risk Published
The latest study to investigate whether a unique association between chiropractic manipulation and risk of cervical artery dissection / stroke exists has yielded similar encouraging findings, with the authors noting "no excess risk of carotid artery stroke after chiropractic care" and no significant risk difference between patients receiving care from a DC or a primary care medical provider.
Waist Circumference: A Conversation Starter
New estimates suggest more than two-thirds of Americans are either overweight or obese. The medical significance of this statistic is astounding.
The Large Intestine Official
The large intestine (AKA colon) is the great eliminator, or as J.R. Worsley called it, "The Drainer of the Dregs." Dregs are defined as the remnants of liquid with its sediment left in a container, or the basest, least valuable portion of anything.
Gather & Grow
I recently attended a faculty seminar held by one of the acupuncture schools. There was a facilitator who led us through some very interesting experiences. The attendees were a diverse group with varying opinions.
A Brief History of Acupuncture and Oriental Medicine Doctoral Programs
A doctorate in acupuncture and Oriental medicine has been a goal of the profession since its beginnings in the late 1970s. At that time, however, the maturity of the educational institutions and the regulatory environment made it a goal with only a distant completion date.
VF Works / DMX Works Epilogue: Almost Two Decades Later, the Lawsuits Continue
An article in the March 8, 1999 edition of Dynamic Chiropractic examined whether then-VF Works / Nu-Best Franchising was selling its franchises illegally to doctors of chiropractic.
Spiritual Initiation: Opening Your Higher Healing Abilities
People drawn to the field of acupuncture and Oriental Medicine tend to be those who march to the beat of a different drummer.
The Acupuncture Channel System (Part 2)
The primary channels (main channels) are introduced in chapter 10 of the Ling Shu, these channels are referenced in many chapters throughout the Su Wen and the Ling Shu. The primary channels have become the main channel system used in TCM.
TCM & the Caregiving Population: Treatment Considerations & Our Vital Role
Informal caregiving is increasingly a reality for many Americans who find themselves providing unpaid care for a loved one or a family member with a long-term, terminal, or chronic illness.
August, 2002, Vol. 02, Issue 08
Exploring New Paths: Starting Your Own Business
By Perry Isenberg
So, you want to start your own business and be your own boss? There are quite a few considerations to keep in mind as you branch out on your own. Location; expenses/overhead; insurance; payroll; taxes; business licenses; depreciation on equipment; cost of supplies; etc., all influence how much money you need to start.The major reason smaller businesses fail is an insufficient amount of money (start-up capital). You need a budget, which should include your salary. An accountant can help you handle things smoothly.
Where you set up your new practice depends, among other things, on how much money you have to rent a decent office. Maybe you want a small office in your home, or just want to see clients in their homes (sort of a mobile therapist). You need to research how close your existing clients will be to the office, and if there are any high-traffic areas that may complicate their visits. No one wants to drive 20 miles to the therapist's office; decide how far you think your clients are willing to travel, since they are going to be the staple of your business in the beginning. Also check the zoning laws, and don't forget the business licenses and insurance! Find out how much insurance you need to carry; this varies depending on the state in which you are starting your business. You will need a fair amount of equipment, including massage tables; linens and towels; a washer and dryer; phones and phone lines; computers; desks and chairs; etc. Depending on how big you want to be, you may also need waiting-room furniture and decorations, office supplies, a copier, fax machine... the list goes on and on. Shop around for these items, so you get the best deals and spend the least money (without sacrificing quality). The plan is to research, budget, implement and market.
OK, so you've determined your approximate office costs... are you going to have any staff? With employees come payroll, federal and state tax, unemployment tax and workers' compensation obligations. Are you going to offer any benefits for long-term employees? Think about it first! If you have a few bad months financially, you'll still have to pay these benefits! Good therapists are hard to find, and you get what you pay for. You also need to be careful about the people you hire. You should do a background screening, and definitely check references. If you accept insurance from clients, you will need to have staff that knows insurance coding, medical billing, etc. Paperwork takes up too much time. It is worth hiring someone with this expertise (maybe part-time at first) to help free up your time to see more clients. Also, are you going to sell any products? Retail sales are vital for the financial health of the practice, and to expand client services. This may generate extra income for you... but don't forget the bookkeeping!
How do you get the money to start your practice? Some of the start-up money may be yours, a family member may help, or perhaps a friend has a little extra cash... of start-ups take the Small Business Administration (SBA) loan route. If you choose this option, you will need a good business plan in writing (a three-year projection is usually required) to be considered for one of these loans. The Small Business Administration has a fabulous website that can answer many of your questions, including how to apply, who to contact, what the business plan entails, and why you need one. You can visit the SBA website at www.sba.gov. There are numerous small business seminars you can attend (some at local community colleges). Usually a seminar is only two days long, and it's worth the time invested. A good seminar will provide such information as where you can apply for loans, and how to design your business and marketing plan.
Having your own practice has its upside and downside, but if you plan, research and prepare yourself to work hard for yourself, you will be successful.
Until next time, be healthy, be good, and stay focused and motivated.
Click here for previous articles by Perry Isenberg.
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