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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.
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.
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.
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."
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 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.
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.
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
February, 2005, Vol. 05, Issue 02
By Keith Eric Grant, PhD, NCTMB
Last fall, I spent a bit of time looking at California statistics for massage education and practice. Partly as an outgrowth of legislative activity and partly out of efforts by Associated Bodywork & Massage Professionals (ABMP),1 there was more raw data than normal lying around for me to nose through. One interesting item was the percentage of those entering massage practice that were still practicing five years later.
The data was broken down by hours of core education with a base of about 18,000 entrants per year - pretty solid for statistics. Five-year survival rates were 29.2 percent at a nominal 125 hours, 33.1 percent at about 250 hours, and 37.7 percent at a nominal 650 hours, the last category being 80 percent accredited career schools. The bad news is that the first doubling in training time only gave a 4 percent increase in survival rate and that the subsequent increase in training only contributed a 3.3 percent increase in survival per doubling of training hours.
This is a strong indication that what's being offered on the menu is at best tangential toward keeping people in the profession. The good news is that our statistics aren't devastatingly lower than general small-business statistics of about 45 percent survival at five years.4 The additional good news is that you don't have to ride the averages - individual effort counts for a lot. There are things that will help you much more than hanging around a massage school without specific business and practice goals yet in place.
As the story of "The Princess Bride" goes, Westley's ship has been taken by the Dread Pirate Roberts, who never takes prisoners. Yet, moved by Westley's tale of needing to return for true love, Roberts does spare him to be his valet. Every night for three years, while Westley learns to fight and run a ship, Roberts says the same thing: "Good night, Westley. Good work. Sleep well. I'll most likely kill you in the morning."
Finally, Roberts reveals that he is not the original Dread Pirate Roberts, is now ready to retire and - after a bit of final mentoring - goes his way to leave Westley as the new "Roberts."
The story is about living on the edge as a new entrepreneur, employee or apprentice. If you don't mean business, if you don't pay attention, you won't see the following day. In an article on business survival, Angelo Valenti comments that "in the jungle, animals that are aware are called survivors, while animals that are just awake are called lunch."7 He stresses paying attention to successes, failures and the environment in which they happen. You may practice massage to assist others, but you can only do that by developing and using good business sense.
Once you are consistent about pursuing a massage career, whether full-time or part-time, the next step is your first ad layout. This isn't about brochures and business cards; those come later. This is about the ad you are going to take with you on every interview, presentation or client contact; the one that will walk in on your own legs and that you will see in the mirror before and after. Likely the most important ad you will ever create is the presentation of yourself. It may be a maxim but it is still correct, "You never get a second chance to make a first impression."
Take the pointers available from SCORE (Service Corps of Retired Executives) to heart.6 In particular, think about the context of a job interview or a client situation. Your goal should be to interface seamlessly with their world and needs. Unless you really are providing massage on a Florida lawn, emulate the chameleon, not the pink flamingo.
If you aren't feeling comfortable about business issues, don't panic and don't ignore the problem. There are a number of resources, training programs and opportunities for finding mentors that are available to you at little or no cost. Both online and through regions centers, SCORE answers questions, offers workshops, and provides mentoring.5
The U.S. Small Business Administration (SBA) is a gateway to regional Small Business Development Centers (SBDCs), providing local assistance.10 The SBA is also a gateway to Women's Business Centers.
Try and find a niche of practice and clientele that makes you special.2 Look for opportunities within the social or work contexts with which you are already familiar and comfortable. When you identify a target niche, evaluate your training. If you have training gaps, you can now be specific about your needs and finding teachers who have mastery at what you want to do. You should be able to ask questions, and they should be able to give you specific answers about what you will gain.
Look again at the quote from John McWade at the beginning of this column. The focus of such training to application is what makes it worth your money and time.
If you aren't going to hire a designer, learn some basic design and copywriting yourself for brochure and business card layouts. There are good design books by both John McWade8 and Robin Williams.11 Copywriter Robert Bly has written several helpful books and has a number of articles on his Web site.3 Remember that you are selling satisfaction of your client's concerns, not your technique collection. Reflect that in your approach and advertising. To create success, mean business, find your niche, and get the word out.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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