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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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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."
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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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