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The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
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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