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New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
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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