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Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
October, 2002, Vol. 02, Issue 10
Leaping Into Space
By Keith Eric Grant, PhD, NCTMB
In the volcanic Shasta-Cascade region of northern California, the ice-cold waters of the upper McCloud River cascade over three spectacular waterfalls.4 Just above the lower falls is a relatively flat zone where layers of smooth rock, exposed to the late summer sun, define both shallow pools for wading and splashing and warm dry areas for simple reclining. Lying beneath the falls is a deep, emerald pool encircled by rocks 20-30 feet high. At one edge of the pool, a steel ladder, rising to the cliffs above, has been fastened to the rock. One by one, we accept the challenge of dropping from an overly hot summer's day off the cliff into the icy waters below. After watching how others take the leap (and miraculously survive), I stand with my bare feet on the warm smooth rock as I look down. A last moment of uneasy hesitation, a small impulse of my leg muscles, and then I feel myself dropping. The rush of the water enveloping my legs comes simultaneously with the sound of my splash. Then, it is cold and quiet, with a deep blackness below and a greenish glow of light above. An instant later, my head breaks the surface, breath returns, and I swim to the ladder for the climb back up; leaving the chill of the water behind, but keeping the exhilaration.
There are moments we face in life, much like my jump from the cliffs, when we must summon our resolve to move into the unknown. Sometimes those moments are the result of our seeing an opportunity for personal growth or more business and initiating a change. Sometimes those moments are the result of a door closing behind us, leaving us unexpectedly looking for a new door to open. Transition consultant William Bridges characterizes change as the shift that occurs in the external world, and transition as the internal "process of letting go of the way things used to be and then taking hold of the way they subsequently become". In between the letting go and the taking hold, there is a neutral zone that is both chaotic and creative.1 Bridges advocates examining change based on asking three questions. "What is changing? What will actually be different because of the change? Who's going to lose what?" 2 The questions clarify understanding of both the substance of the change and the inescapable process of having to let go of something familiar to create room for something new.
Since change is inevitable in our lives, we can help the process along by taking an occasional glance at the horizon. By anticipating changes before they arrive, we gain time to either change our own responses and skills or to seek a new situation. Some years ago, I took a row-it-yourself raft trip down the Green and upper Colorado Rivers through the rapids of Cataract Canyon.3 Each of us had a chance to be in command through at least one of the rapids. Before running each rapid, we walked ahead to look for the rocks and holes to avoid and the tongue of moving water to center on. Between rapids, we also looked for a place to "eddy out" and catch our breaths.
Doing what we can to figure out the directions in which to move, the places to avoid, and how to rest and recenter ourselves are as good strategies for career and life as they are for rafting. There are times, however, in both rafting and life in which our course doesn't play out as we have planned. When we are struck by a crisis, having an affirmation on hand for reaching down to our deeper strengths can help us to avoid being too paralyzed to find and take needed steps.
Sometimes the unknown isn't as much about external change as it is about feeling vulnerable while expanding the limits we've placed on our own behavior. On first entering massage training, for example, students may experience this feeling of vulnerability from greatly increased body awareness and touch interacting with previously unconscious scripts of body image and use. Bringing limiting body-connected scripts to conscious awareness and decision-making is a process of integration I refer to as "learning the names of our dragons"; an important step in sorting out the ways we will later nonverbally project and be role models for our clients.
Feelings of vulnerability also manifest simply from expanding our technical repertoire. I was recently reminded of this lesson in moving from my relatively "Mack truck" venue of sports and deep-tissue massage to take classes in lymphatic drainage. The subtlety of mapping the timing and direction of the waves of lymph flow stepped outside my previous skills to return me to feelings of novice ineptitude. I was immediately grateful for the shared warmth and support of my fellow students. Learning new kinesthetic skills is not instantaneous. During kinesthetic learning and integration we can often feel clumsy. Even previously mastered techniques can temporarily feel awkward before our kinesthetic vocabulary all comes together again.
Consciously creating the habit of taking small leaps into space makes us more adept at the process of our own transitions and better able to lend a hand to others. We let ourselves take more risks once we learn we are in an environment that is safe and nurturing. This type of environment is something we can work to create for others and ourselves.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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