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Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
February, 2004, Vol. 04, Issue 02
Touching and Listening
By Keith Eric Grant, PhD, NCTMB
In the Mediterranean climate of central California, it is difficult to predict the timing of the winter rains. During the high summer and long, hot fall, a persistent zone of high pressure sits off the coast, a nd storm tracks simply veer around it. When the high finally breaks down, the storms move in, settling the dust and bringing the sound of rain to soothe our ears. The needed moisture starts the process of sprouting and growth. This winter's heavy December rains foretell that, and by the time you read this, the hills will have turned bright green and daffodils will be blooming white and gold in gardens. We are not so distant from our human beginnings that the sounds of rain and the sight of growing plants fail to soothe us. What affects us emotionally ties strongly into our abilities to cope with and recover from the stresses of life.
The importance of the ties between mind and body has been stressed by physician and cardiac specialist Bernard Lown.1 Lown notes a study in which hospital patients that had rooms with a view of a tree recovered more quickly than those with rooms facing only parking lots. What we see and feel matters. More pointedly, Lown underscores the importance of the human connection to the outcomes of medical practice. The loss of many of those connections to the exclusive use of tests and technology has become an expensive detriment to recovery.
As practitioners of touch therapies, Lown's words are as relevant to us as they are to physicians. Our effectiveness as practitioners strongly depends on our choice of words, body language, and willingness to listen to our clients. Lown particularly emphasizes the importance of listening to the client to take a detailed history. The listening process gleans the information to assess the chief complaint, but also uncovers what underlies that complaint in the context of the client's life and coping processes. Many times, the chief complaint is only the entry ticket to the practitioner's office. As with a ticket to a show, to pay attention only to that ticket is to miss the show itself.
Lown also stresses the importance of touch to the practitioner/client relationship, noting that, after touch is involved in the examination process, the client's underlying concerns often flow forth much more freely. The simple act of touch has established a connection of trust that was not there before. Bevis Nathan, a British osteopath, has written a thorough review of touch within the therapeutic relationship of manual practice. Within that context, Nathan has taken the important step of considering the therapeutic effects of the touch connection itself:
Terry Orlick, a sports-performance coach, divides a life of pursuing excellence into "gold" and "green" zones.3 The gold zone is one of absolute focus and striving toward a goal; the green zone contains pursuits of balance, connection, and relaxation. Orlick notes that ongoing stress, particularly in the absence of coping strategies, opens one up to health problems. In contrast, positive, uplifting activities - joyful experiences - strengthen our immune systems and aid healing and recovery. The positive body language, encouraging words, and, perhaps most important, time that a massage practitioner shares with clients are such positive experiences. Relaxation, the focus of pursuits and the quality of our presence guides our techniques when facilitating healing and wellness. We make the greatest contribution to our clients' lives by touching and listening.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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