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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.
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.
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.
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.
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.
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."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
May, 2003, Vol. 03, Issue 05
Expect the Unexpected
By Perry Isenberg
Do you pride yourself on being organized? Do you account for every minute of your day? Generally, appointments are scheduled every hour. Maybe you even schedule your lunch each day and are proud that you do not waste precious time.Well, just because you account for every minute of your day and think everything is organized, doesn't mean you are making the greatest use of your time. Time management is an entirely separate skill, and it isn't determined by the mere fact that your day is crammed, or that every single minute is scheduled in your day. Actually, time management means precisely the opposite. You need to leave some time available for when the unexpected or "unplanned" happens - and it will, more often than you think.
I believe it's important to be flexible and "pad" some time in your schedule for the unexpected. I find having a daytimer makes me a bit inflexible, especially when the unexpected happens, because I have stop to re-organize everything I've written down. Scrambling around to get everything done isn't an efficient (or enjoyable) way to spend your workday.
It's a reality that occasionally, people don't show up for their scheduled appointments. What do you do with this extra "empty time space"? I have found that if I write a secondary "to-do" list, it helps me use the "new" time effectively. This list should take about 20 minutes to plan, preferably at the beginning of each week. Items on the list should be categorized by importance or priority. These are the tasks you will complete whenever you have that "extra" time originally slated for appointments. This way, you continue to be productive and do not waste time. I also try to limit phone interruptions and other distractions that usually slow me down and put me behind.
When a day is unusually hectic, I may let a few calls go to voicemail. I check the phone calls every few hours. If you get in the habit of returning phone calls within a reasonable amount of time, no one should mind. When things do not go as planned, don't panic, especially if it is something you cannot control. If you can't change it, leave it for later. Worrying about things you cannot control isn't productive. Are there tasks you wish you could do faster? Probably! There are always better and more efficient ways to do those tasks and chores! Challenge yourself - you might be surprised with the results.
Hopefully, you are a great time manager; you will have to be, with all of the appointments you have to keep. However, appointment scheduling needs to be reasonable. You cannot expect to schedule seven appointments (or more) a day and have everything run smoothly; most of the time, it won't. And what about the things you have to do in your personal life? You do have one of those, don't you? If you find you do not have the time to do the things you enjoy, rethink your time management skills.
We all have our own time-management skills that help us get through the day. I have found that these skills are acquired through practice. Some of us may find these skills a little easier to learn than others might, as we all have our own strengths and weaknesses. I believe I have found a way that works for me (most of the time), especially when the unexpected happens. I am always on the lookout for new, clever ways to get the most out of my day.
Until next time, be healthy, be good, and stay focused and motivated.
Click here for previous articles by Perry Isenberg.
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