Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
May, 2003, Vol. 03, Issue 05
Ancient Trade Routes
By Keith Eric Grant, PhD, NCTMB
By the end of the first century B.C., there was a great expansion of international trade involving five contiguous powers: the Roman empire, the Parthian empire, the Kushan empire, the nomadic confederation of the Xiongnu, and the Han empire.Although travel was arduous and knowledge of geography imperfect, numerous contacts were forged as these empires expanded-spreading ideas, beliefs, and customs among heterogeneous peoples - and as valuable goods were moved over long distances through trade, exchange, gift-giving, and the payment of tribute. Transport over land was accomplished using river craft and pack animals, notably the sturdy Bactrian camel. Travel by sea depended on the prevailing winds of the Indian Ocean and the monsoons, which blow from the southwest during the summer months and from the northeast in the fall.2
Cities along the silk, spice and incense trade routes are prime material for adventure and romance novels. Even the names of the routes conjure up visions and suggestions of exotic sounds, scents and textures. So great were the influences of ancient trade cities that even today, we can almost imagine the cries within their marketplaces. Cities such as Petra and Palmyra once grew rich providing services to merchants and acting as international centers of trade. They also became cultural and artistic centers, where peoples of different ethnic and cultural backgrounds could meet and intermingle. They were the commercial and intellectual hubs with links extending to touch every corner of the known world.
Interestingly, we are only now gaining full understanding of how pervasive such links and hubs are in our lives. In his recent book on networks, physicist Albert-László Barabási provides an overview of ongoing research into the laws governing the way connections form within networks as they evolve and grow.1 Common structuring seems to exist: from the number of chemical reactions linking key molecules together within a cell; to structures within our bodies for communication, transport and support; to associations between actors who have made films together; to ancient trade routes; to the links between the ever-increasing information nodes on the Internet. It has become apparent that, on all spatial scales of organization, the linking between nodes or sections is not random. There are patterns with small local clusters of linking, with few links per individual, and certain individuals or places that act as major hubs, with many connections leaping to distant parts and places.
One of the studies Barabási discusses found that job seekers more often succeeded through their acquaintances than through their closer friends. A person's friends were in the same "small world" cluster in which everyone basically shared the same information. One's acquaintances provided links to other clusters of people in which new opportunities were available. In marketing our practices, this concept of long-range links yields the insight that we should seek to find and develop connections with those who will be our gateways to other groups. As we become known for offering services that add to individual support networks, ameliorate stress, and resolve problems of body usage and history, our personal links will multiply, and our practices will prosper.
Several conceptual keys open doors to understanding and modeling what we observe in diverse worlds of interconnectivity. First, making the interconnections needs to be a dynamic process of growth and change. Second, when a new person or item in the network is added, key hubs already possessing many links will be favored to get the new link (literally a type of "the rich get richer" favoritism). Finally, a solution or place providing a better fit to the current need will preferentially attract links, even to the detriment of well-established key hubs.
This last point, in particular, explains how new trade cities might grow, and old ones decline, with the introduction of a newly discovered route or technology. It equally explains how, as an instance of adapting to strain in accordance with Davis's law, the fascia within our bodies will adapt to a change in posture and body usage following the start of a new activity, or following an injury.3,6 Our unifying webs of fascia grow from an embryological viewpoint and modify continually from a life usage viewpoint.3,5Tom Myers, particularly with his work on "anatomy trains," seems to have captured the aspects of our fascial webs as networks of communication.4
While it is true that 'everything is connected to everything else,' some bits are more connected than others. An extension of the pioneering work of Dr. Ida Rolf and her system of Structural Integration, these 'myofascial meridians' provide a map for postural compensation, which, when grasped, provide a model for 'tensegrity' balance of the myofasciae around the skeleton. Using this scheme, unexpected linkages lead to new 'whole body' strategies for manual and movement therapists.
The interconnectivity that Myers implies adds the perspective to our work that we are never, in truth, just engaging a local area but initiating a chain of communication and compensations that will spread over a client's entire body. As our fingers ply the ancient trade routes of our physical embodiment, we bring goods of comfort and relief that reach back to our beginnings as human beings and beyond. We are linked by many webs of connection.
Everything touches everything. - Argentinean author Jorge Luis Borges
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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