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Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
September, 2002, Vol. 02, Issue 09
The Business of Ethics
By Perry Isenberg
Recently a magazine I used to advertise in went out of business. The magazine sent everyone who had given them business a letter stating it was folding. It must have been very difficult to compose and send out such a letter, but I suppose it was the right thing to do.
Obviously, several of us had already paid for upcoming advertising in the publication, so now we had to get it back.This has happened before, but I've usually found out the hard way. That is, when I expected my copy of a certain publication to come out and hadn't seen it for a few months, I knew what had happened and had to chase them down to recover what I wasn't going to get. Being a businessperson myself, I am always dismayed when I do business with someone I think I can trust and something like this happens. It always brings to mind an important concept, one that I feel compelled to discuss in this month's column: business ethics.
Before you can have business ethics, you must have a solid set of personal ethics. Simply put, don't do anything to anyone you wouldn't want done to you. There really isn't any difference between the two. Take as example a client who divulged some very personal things about him or herself during a session with you. Now, you know about confidentiality. This person trusted you with some pretty sensitive information. You also have sessions with a neighbor of this client. During one of these sessions, the neighbor starts to talk about how "so and so" has a big problem, and the two of you start to gossip - about the client. It gets back to the client that you spoke with their neighbor... need I finish this scenario? Take another scenario: you have a payment system whereby the client pays monthly for sessions with you. The client is scheduled every Friday during the month at a particular time. You start getting very busy on Fridays - apparently that's when all your clients want to schedule sessions. You quickly get bogged down and start missing scheduled appointments, and clients get mad, feel ripped-off, and start bad-mouthing you and going elsewhere for sessions. What do you do now?
Business ethics are the professional value-based rules that you personally live by. Here are some questions to ask yourself: Do you keep quiet about gossip you hear from one client to another? Do you try to change the conversation when "gossip" comes up? Are you fair to the clients who have been with you, and schedule appointments around them? Are you honest in telling them why you missed an appointment with them? Are you dependable/consistent and have integrity in the things you say? Do you follow through on your promises? Are your transactions with your clients fair and honest? Do you show respect and fairness?
If you can answer "yes" to all these questions, good for you. Remember, if you do not have business ethics, the perception is that you are untrustworthy. Word will get out and you will be out of business. Sound business ethics promise stability, growth and profits. They are the guarantee that you will succeed and have longevity in your practice.
Until next time, be healthy, be good, and stay focused and motivated.
Click here for previous articles by Perry Isenberg.
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