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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.
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.
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.
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.
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).
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.
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.
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.
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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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%.
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.
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.
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.
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.
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.
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, 2004, Vol. 04, Issue 07
Women in Business
By Linda Riach
In business, the issues that men and women face are no different. In fact, I would go so far as to say that how they feel about those issues is no different; however, the skills they bring to the table for coping are often very unique.In boardroom meetings with other CEOs (all of whom run companies that are vastly different) in a variety of settings, I've found that most of us have very similar issues: finding the right team; watching our bottom lines; serving our clients; competing in a tough economy; and surviving, enduring, and ultimately, thriving. I find that we each "sweat it out" in pretty much the same way. While I may be the only woman in the room (and yes, sometimes excluded from the "old boys' club"), I've learned that I'm not alone in how I'm feeling about those struggles or about tackling issues that could make or break my company. We can all learn about marketing and bookkeeping - the business skills.
So, is the gender difference only in how well we put on our "game face?" It may be. How many women learned as children to put on bravado? Few of us. But there is another skill they don't teach in business schools - listening. Listening is something we, as women, learn on the telephone, and in cliques, family gatherings and through our innate desire to communicate.
Every successful business owner finds a market void and fills it. The key to survival, however, is being able to respond to our clients' needs. The amazing thing is that you can discover those needs merely by listening. Listening is the difference that will serve you, as a man or woman, corporate CEO or massage therapy practitioner.
While you may not have 250,000 clients, getting to know the 25 you do have will make those relationships better by helping you give them what they need and keep them coming back. My entire career is focused on the art of listening (something I share with my employees), and while I've had great success with it, there is always much more to learn. In fact, listening is the very foundation upon which my company was built 25 years ago; it is this very skill that makes all the difference in the marketplace.
Knowledge and information are also foundations upon which businesses are developed. Continuously developing and re-inventing your capabilities to meet client needs isn't easy, but it's crucial to serving the customer and to your success, no matter who you are. Listening also means hearing the stuff we don't want to hear - the criticisms and the judgments.
Criticism doesn't feel any better to us than it does to a sensitive teenager. But over the years, I've learned a thing or two about how to deal with the bad, as well as the good, and how to get past the hurt and use what I'm hearing to help my business thrive. So now when I'm confronted with "She's only a woman"; "She has no business background"; or "Just what are her credentials?" I find listening to those judgments spurs me on and incites a kind of "I'll show them!" attitude. This is a powerful motivator, as we "old-timers" in the massage community know. Didn't we grow in the face of skepticism, flourishing despite criticism and proving our value, despite the naysayers and overly arrogant "experts?"
Criticisms? Oh, they sting! It's time to forget those high school wounds, though, and listen for the opportunity for change and growth at its core. The negative feedback provides a wealth of insight, because it tells me as much about the critic (whether client, employee or competitor) as it does about our efforts and areas needing improvement. While I may not like the package it comes in, criticism is a gift, just the same. I feel blessed when I get good feedback, too.
Unlike when I first began my entrepreneurial journey, my more experienced ears are just now learning to appreciate what I do right, and my mind is beginning to use that juice to recharge the energy it takes to make it through the challenges. As entrepreneurs and women in business, we have to remember to celebrate the victories and to get up and do it all again tomorrow - better and bolder than we did it yesterday.
Click here for previous articles by Linda Riach.
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