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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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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%.
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.
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.
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.
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).
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.
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.
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.
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.
July, 2003, Vol. 03, Issue 07
What Did You Say?
By Perry Isenberg
Have you ever been in a conversation and felt your message didn't get across the way you wanted it to? Did it come across the wrong way? If so, you may want to see if you are sending mixed signals.
The ability to communicate can be one of the most difficult skills to acquire.The ability to communicate touches every aspect of our lives and is something we most often take for granted. There are thousands of books, tapes and educators that focus on communication skills, yet few of us take the skill seriously. (I admit I am not very good at communicating, but I am working on it!)
This article, compiled from various articles I have read on the topic, will offer suggestions on improving communication. I hope you find this information useful.
Communication experts say that words in a conversation account for only a small percentage of how people perceive you; the rest is what you don't say, including facial expressions, body language and tone of voice. Many people think that if they know what to say, they have achieved the hard part. However, in reality, knowing what to leave out delivers a clear message, supported by appropriate body language. Clear communication involves conveying your message in "short and sweet" language to avoid overload. Skilled communicators get to the point quickly by presenting " just the facts," without the fluff.
Perception is everything; what one person says may not be what another person hears. Personal beliefs may cloud what we hear and how we communicate. Being a good listener and communicator takes practice. Communication is an exchange and can become difficult if we are not skilled, or let ourselves get caught up in emotions and judgments. Some people may think they are good listeners, but, in reality, people may only hear half of what you are saying. Good communicators are good listeners; good listeners ask the right questions; The result is clear conversation. I try to avoid bad conversation habits, such as getting off the subject, confusing the listener with disjointed conversation or talking too fast.
A person who is upset might begin taking his or her anger out on me. When this happens, I try not to take it personally and have a negative reaction. Instead, I find out why the person is upset and the steps we can take to correct the situation. Most of the time, I let people "talk themselves out." They can usually communicate calmly after that. I then focus on some pertinent information so that I can recap and respond to their complaint. I might share a similar personal experience; however, I won't give direct advice. Rather, I might make gentle suggestions, especially if I think it will help the person see another perspective. I might say something like: "This helped me when I did so and so," instead of saying, "You need to do such and such." The tip here is to find common ground and rationale to keep the communication open and flowing.
When I listen, I keep a positive and open mind, and try to reserve judgment, even if I don't agree with the person's point of view. If I am not sure of his or her position, I will ask questions and repeat some points of the conversation. This tells the person that I listened, which helps diffuse the situation and adds perspective for our mutual benefit.
Of course, not all exchanges of communication are that tenuous. However If you keep a positive and open mind, do not take things personally, and stay free of judgment, you can ask the right questions to get to the real issue, even in the toughest situations. Respond only to the facts, not emotions; your body language needs to support your words.
Effective communication is an exchange and an art that needs to be practiced. Remember, clear, positive communication will get a clear, positive response for an informative beneficial conversation.
In the meantime, be healthy, be good and stay focused and motivated.
Click here for previous articles by Perry Isenberg.
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