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Pain Is Only a Piece of the Puzzle
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, etc.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
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.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
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.
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.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
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.
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 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.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
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.
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.
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.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
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."
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
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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