Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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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.
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.
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.
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.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
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.
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.
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.
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.
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!
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.
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.
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?
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.
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.
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.
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.
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.
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.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
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?
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.
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.
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.
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.
July, 2004, Vol. 04, Issue 07
We've Made It!
By Ralph Stephens, BS, LMT, NCTMB
Massage therapy has finally arrived as a significant player in health care. How do I know? From the article, "Setting the Record Straight," by Rebecca J. Razo in the June issue of this fine publication (www.massagetoday.com/archives/2004/06/02.html).When I read that well-written article, my heart jumped with joy. I shouted, "Alright, we're there - we've finally gotten to them!" Massage has finally tripped the radar of the allopaths, and they have begun their typical attack.
The medical "cartel" does this whenever some product or procedure begins to affect their bottom line. They start attacking it, trying to discredit it. Their first effort is always to scare people away from alternative providers and products, and back into their clutches by labeling the alternative dangerous, unsafe, unproven, blah, blah, blah.
If they can't accomplish that, they demand to control access to the alternative. If you haven't noticed, they have been pulling this same cowardly, poverty conscious routine on the chiropractic profession for decades. They go after any natural food supplement, herb or remedy that becomes popular and negatively impacts the sale of pharmaceuticals. The highest acknow-ledgement the medical-pharmaceutical cartel can give is its effort to eliminate or control you. It is the true measure of your success and effectiveness.
Do not get down about this "hit" piece; it is great news! We are hurting the allopath's bottom line. We are reaching enough people that they are getting upset. This is just the first of many hit pieces to come. Rejoice! Don't worry; be happy! It means we are winning. The allopaths' efforts have not stopped the growth of chiropractic, and they will not stop the growth of massage, unless we sell out to the allopaths by giving control to them.
I have carefully observed the attacks on DCs and the natural food and supplement industries for many years. This hit piece against massage perfectly fits the pattern they used against chiropractic. The media always allows some individual physician to make outrageous, unchallenged statements about some product or alternative therapy that sound plausible to the untrained lay person. When challenged, the physician backpedals, but the media never does an effective retraction. If they even do one at all, they bury it or minimize it.
When Dr. Robert Gotlin was challenged, he said, "Massage therapy is an excellent modality choice if not contraindicated." Well, duh - If that is what he really believes, why didn't he say that? He is like a racist saying, "I'm not a racist, some of my best friends are black, Asian, Indian, etc." The good doctor (I'm being generous here) expresses his real complaint when he says his concern is for those who self- treat without seeking appropriate medical care. What this means is, he thinks doctors should be in control of who can receive massage. He wants his office visit fee; he wants to control who can get massage, how often, and what type. Dr. Gotlin says he does not care if someone without pain gets a nice, relaxing massage. You see, that is all they thought we were doing. That is why they have left us alone this long. Now they are figuring out what massage can really do (and is doing) and they want control of it - to suppress it. (Hey, you up there in New York; anyone ever gotten a referral from the good Dr. Gotlin?)
I wonder how concerned Dr. Gotlin is about the 783,936 people murdered each year - (oh, come on Ralph, don't use such emotionally inflammatory language); all right, just killed - by his conventional medicine "colleagues" in America? (Oh, by the way: Those are just the ones they admit to in their own publications.) The leading cause of death and injury in America is the medical system. Talk about dangerous, unsafe and unproven! What about the 2.2 million people per year having in-hospital adverse reactions to prescription drugs; the 7.5 million unnecessary medical and surgical procedures performed annually; or the 8.9 million people hospitalized unnecessarily each year?
Why isn't Dr. Gotlin -- or the media -- concerned about this? For the answer, just follow the money trail. You should read the study, "Death by Medicine" at www.lef.org/magazine/mag2004/mar2004_awsi_death_01.htm.** We should be sharing it with everyone we can. The public needs to know how it is being systematically abused by the medical-pharmaceutical cartel, and its blind trust in the "conventional medical system" needs to be broken.
When this happens, people will begin to take better care of themselves, and alternative providers will come to the forefront of health care, where they should be. Kudos to the 10,000-plus licensed massage therapists in New York who are doing such good work. New York has a strong massage law, higher than average standards, and its own exam -- and it's working. Keep those storefronts open and keep helping people!
Something to think about: To those who believe "It is a massage, not brain surgery"; that there is no need to increase entry-level standards because it cannot be proven that therapists with 500 hours of training or fewer cause harm; or resist regulation, licensure, standards, and continuing education, one observant reader asks, "Why are our associations billing us for 3-to-6-million-dollar malpractice/liability insurance policies?" Why are massage therapists joining organizations just to get insurance and why are they carrying so much of it? Hmm....
A Practical Massage Tip: Fascia is not inert connective tissue that merely transitions from a more dense "gel" state to its more fluid "sol" state. It is densely innervated with mechanoreceptors, which respond to appropriate manual pressure, lowering sympathetic tonus. Fascia also contains smooth muscle fibers, allowing the nervous system to tension the fascial sheaths. One type of fascial pressure receptor group, the Ruffini ending, responds to tangential pressures and lateral stretch, lowering sympathetic nervous system activity. Next time you are holding a stubborn tender point or trigger point, try adding slight, subtle sideways pressure, preferably cross-fiber and see if you get a faster or larger release or change in the tissue. See you in September - when I will weigh in on the "medical massage" debate. Have a great summer!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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