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Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
September, 2002, Vol. 02, Issue 09
Step Nine: Initial Training
By John Fanuzzi
The initial marketing discussed in last month's column usually occurs on a parallel timeframe with this month's topic: Initial Training. As the energy and excitement builds toward your grand opening and you see the light at the end of the tunnel, it's time to get physical - hands-on training.Now is the time to cover every aspect of your operation and communicate clearly with your staff. Ideally, you should have a manual prepared with detailed instructions of every phase of your operation. This manual serves as the starting point for all of your initial training. It is also a "work in progress" to be modified and updated as your operations expand and you add new services.
I recommend that every employee and therapist know every job to some degree and be willing to be flexible, especially if you are just starting out. As an owner, I like to have experience in every job, from reception, bookkeeping, computer, and retailing, to the not-so-glamorous jobs such as cleaning the showers, doing the laundry, and sweeping and vacuuming the floors. That way I not only have a feel for the job so I can train the employees, but I can fill in case of an emergency. Loving what you do, no matter what it entails on a particular day, means that everything you do is fun.
As I stated in a previous article, you should allow about two-to-four weeks of training before your grand opening, to get all of the kinks ironed out and have your staff working harmoniously and in sync. Your training should cover all aspects of the operation for all employees. I would make sure to have an internal communication system, so that nothing falls through the cracks. Every employee should have his or her own e-mail addressm so important personal and company wide messages or policy changes can be documented and acknowledged. Each employee should also have his or her own voicemail, so personal calls or specific instructions from management or customers can be directly communicated.
Company-wide standards and expectations should be spelled out clearly. Tell employees what you expect from them, so you can put issues on the table before they become problems. Ethics, client confidentiality, and proper treatment protocol can never be overemphasized.
Employees should be aware of timing and traffic flows. Staggering startup times means less congestion in hallways and dressing areas. Employees should also be trained in the physical plant and have a basic knowledge of electrical, mechanical, water, and HVAC control locations.
It is very important to train every employee to be an ambassador for your business. Everyone should be trained to sell products and services and be knowledgeable of the following:
If your construction is complete, you can train in your new facility and do a soft opening with friends only and with reduced pricing. If your spa is still being built, you may have to train off-premises with portable equipment and floor plans. Some of the training involves operations and protocol, which can be taught anywhere. Ideally, your therapists should be trained on the equipment you purchased and in the rooms they will be using.
After training is complete, you'll be ready for the grand opening! Next month, we'll add some final details to make the perfect presentation - just like your best chef.
Click here for previous articles by John Fanuzzi.
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