Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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!
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.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
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.
Preaching 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.
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.
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?
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
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.
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.
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.
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.
July, 2004, Vol. 04, Issue 07
Expedition Costa Rica 2004
By Madeleine Evans, LMT
February's expedition to Costa Rica went too fast and ended too soon. Seven massage therapists made the trip: Sandi Minck, Elise Linden and expedition leader, Elvis Mairena (NJ); Kathy Carlson (Ore.); Katie Haley and myself (Fla.); and Brian Nutter (Md.).Accompanying us were Brian's lovely wife, Rebekah (our much-needed interpreter) and the couple's beautiful 10-month-old daughter, Helena (our public relations person - nobody could resist her charm).
Elvis, a native of Costa Rica who now resides in New Jersey and works as a sports massage therapist for Rutgers University, got the idea for the Costa Rica project after his mother volunteered in an orphanage for handicapped children. The first successful expedition was in July 2003; a subsequent article published in Massage Today (www.massagetoday.com/archives/2003/09/03.html) engendered much interest, prompting Elvis to gather a new team of volunteers for this year's trip.
We first went to Tamarindo, in northwest Costa Rica by the Pacific coast. Some of us stayed at a tourist hotel, while others opted for the more modest cabaneras, which cost about $10 a night. From there, we drove to the Clinic Hogar Maria Immaculada in Puntarenas, and administered massage therapy to the residents and staff for two days.
Most of the clinic residents were at least 70 years of age; some were receiving massage for the first time. They suffered from various illnesses, including diabetes, cancer, polio, stroke, Alzheimer's disease and dementia, yet they appeared happy. They had an irresistible mixture of shyness and friendliness toward us. During the massages, there were many contented smiles and lots of laughter by our attempts to communicate in Spanish. We touched these people with our hands; they touched us with their smiles and kind words, and we made friends.
During our late lunch on the second day, I noticed that Elvis was up to something secretive; I noticed a group of 15 children and a few adults sitting outside on benches. Curiosity got the best of me and, armed with my video camera, I inquired about what they were doing. "We don't know," the adults said, and indicated that they had been called by the clinic's administrator to meet there with the children.
As it turned out, Elvis organized a lecture for the children on "good touch," which was a lot of fun. Elvis taught the kids some easy techniques, including how to apply pressure to a friend's hand if that friend had a headache, how to massage each other's shoulders, and other good remedies. At the end, he tested their mental math skills and offered small coins as rewards. The children were full of joyful energy. Most of the kids were predestined to work the land, Elvis said, but he was hoping that they would remember the massage lecture.
Who knows? Perhaps one or more of those children would become massage therapists some day. I was amazed that those adults and their children had waited patiently without knowing what was in store for them. If Costa Ricans were so trustful with us, we could certainly trust them in return, I thought. We left Puntarenas a bit reluctantly.
A couple of days later, we worked at The Inn for Elders, near Quepos, where we gave a lot of seated massages and a few table massages. We received the same warm welcome from the residents, and were again impressed by the cleanliness and bright look of the place. The tiled floors were impeccable and the walls were freshly painted.
We noticed that the residents did not have many personal belongings in the bedrooms and that they were always outside socializing, which, perhaps says something about how "things" become unimportant at the end of one's life, while being around other people remains desirable.
Three of the residents were dying; Sandi worked on a resident dying of cancer: "Once I put my hands on him and started to do the massage, his whole face changed. He got a big grin from ear to ear. At some point we made eye contact and it was an exquisite moment; no words needed," she said.
The last place we visited was the Disabled Children Clinic. Children suffering from cerebral palsy, Down syndrome, and other disabilities, were brought to us by their parents. Mothers watched attentively while we worked with their children, and later, the parents received massage. The director of the clinic told us how much the mothers appreciated what we had done for them. "Those mothers are so poor and so tired," she said. "Getting a massage is a miracle for them." We were happy to make that miracle come true.
We also got a kick out of playing Santa Claus. In a big sailor bag, I had children's clothes and stuffed animals donated by coworkers back home. The joy the gifts brought to these families made it worth dragging that huge bag through the airport.
Plans are already in progress for next year's expedition. Here are some words of advice to future team members:
My advice is to invest in a small Spanish translator - and have fun speaking with the locals.
In every possible way, the trip was a success. What surprised us the most was how much fun we had with each other. We were a group of strangers brought together by a common interest. We were all ready to be "nice" and "polite" to each other; what we had not expected was to become old friends in a matter of days. According to Sandi, the influence of a special dessert made of watermelon and guaro had a lot to do with our wonderful and sudden friendship.
I believe that when caring people are grouped together to do good things in the world, the Gods are always in their favor. And also, massage therapists tend to be really neat people!
For more info about the next expedition, contact Elvis Mareina at or Brian Nutter at .
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