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Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
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."
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
November, 2002, Vol. 02, Issue 11
My Dolphin Mentor
By John Upledger, DO, OMM
Since my first dolphin experience in 1954, I have had a strong intuitive and instinctive desire to do more with these wonderful beings. My first encounters occurred somewhere in the middle of the Gulf of Mexico.I was in the U.S. Coast Guard at the time, and our ship's captain would announce swim calls over the loud speaker. It was as though the dolphins heard the announcements and came to protect us. Oddly, I felt very safe and connected swimming 100+ miles offshore, even when we had seen sharks in the vicinity earlier.
Off and on over the next 30 years, I had so many positive dolphin encounters that my interest was well- maintained. Then, in 1996, we at The Upledger Institute had the good fortune to start a dolphin-therapist CranioSacral Therapy (CST) program in Grassy Key, Florida. The format was to float a patient in about four feet of water with three therapists working on the patient at the same time. Usually we had one therapist at the patient's head, another at the feet and a third at the pelvis. This left one side of the patient's body free for any dolphin that desired to join in the process. Never did we experience a dolphin's contribution as less than equal to our own.
We worked together with dolphins this way over a four-month period. During this time, I became very friendly with a particular dolphin named AJ. Actually, AJ initiated our relationship and I was more than happy to accommodate him. He would often lie very still in the water next to me while I was working with a patient. I could feel his presence even when we were not in physical contact with each other.
On one occasion, a trainer who had been observing from the pier suggested that I simply extend my left hand, palm down, upon the surface of the water. Within seconds, AJ was under my hand. He began moving so that my hand, which I held still, was rubbing up and down his back. Then he did something quite surprising. He put his blowhole - his breathing aperture - under my hand so that my palm covered it. Lore has it that you must never touch a dolphin's blowhole. Apparently the trainer agreed, because she nearly became hysterical. During her 18 years of experience with dolphins, this had never happened before. She later explained that you never touch the blowhole because the dolphin might go into a frenzy. With such powerful, energetic creatures, that could get very dangerous.
In any case, AJ kept his blowhole under my hand for a minute or so. Then he began moving his body fore and aft again for awhile before he left. During our contact, it felt as though his energy went through me. I felt empowered, and I had an innate sense that I would be able to tap into this vibrational energy and use it in the future as it seemed appropriate. Indeed, I did use it (and frequently still do) while working back on dry land at our clinic in Palm Beach Gardens, Florida. The use of this energy had become rather automatic for me. I didn't think about it much after our work with the dolphins at Grassy Key was over for the winter.
That spring, I flew to Edinburgh, Scotland, to conduct a symposium. There were about 70 therapists there, all of whom had completed intermediate-level studies in CranioSacral Therapy. At symposiums, I work on patients with difficult case histories who have been recommended by attendees. I think aloud as I evaluate and treat the patients, often inviting their therapists to join me in a "multiple-hands" therapy process.
During the morning of my second day there, I was working with a young boy who had suffered from cerebral palsy since birth. I encountered a very strong resistance to physiological motion in his head. This resistance was in the horizontal component of the intracranial membrane system (the dura mater of the tentorium cerebelli). Since I was working in a train-of-thought mode, I said aloud, "I'm going to use some dolphin energy here." The therapeutic energy input increased significantly at this time.
Ironically, during the lunch break, the audio-recording technician told me that as I applied the "dolphin energy," the static in his recording also increased significantly. He later reported that same effect each time I applied that energy over the course of the day.
After the symposium, I was approached by a conservatively dressed woman who appeared to be in her 60s. She informed me that she was a professor of physical therapy at the university in Edinburgh. She also told me she did not believe in anything that had not passed the rigors of scientific testing. Then, in a rather distressed voice, she explained that she, too, had heard the static of the dolphin energy through her hearing aid, which she had been using for over 20 years. She had never heard anything like this before. She said the static continued as I recruited dolphin energy throughout the third and final day of the symposium.
About a month after returning home from Scotland, I received a letter from the skeptical physical therapy professor. She told me that she was still did not believe in dolphin energy, but she also felt compelled to let me know that four days after the symposium, she discovered that she no longer needed her hearing aid. She said she could now hear a watch ticking with what was once her deaf ear.
She wanted me to explain what had happened. But by then, I had learned that there are many useful things you can rely on, but still can't explain. Among these are gravity, some electrical phenomena, and perhaps dolphin energy.
Thank you, AJ. You rank among my greatest mentors.
Click here for previous articles by John Upledger, DO, OMM.
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