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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.
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.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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%.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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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