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TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
December, 2005, Vol. 05, Issue 12
What Employers Are Saying
Recent research indicates that the number one complaint of employers is the inability of massage therapists to market themselves. The term marketing sounds very broad and it is.It encompasses written marketing materials, introductions, client relations and public relations. However, employers not only are talking about marketing yourself, but also marketing the profession of massage therapy, overall health and the cumulative benefits of massage.
In all my years of teaching and consulting, this complaint still is at the top of the list. I regularly consult with business owners and talk with them about their needs. They often want to know how to better motivate their staff and get them to help with marketing. Why is this so hard? Why does the staff not get involved or why do they think it falls completely on the business owner's shoulders? I think most massage therapists think if they work for someone else, all the marketing is done for them. However, this is not the case and you will be a more valuable worker (whether employee or independent contractor) if you participate in the marketing.
Whether you choose to be self-employed or opt to work for someone else, a certain amount of marketing falls on you. After all, isn't it your responsibility to get the client to reschedule? Aren't you somewhat responsible to educate the client about how massage therapy can help them? It might be a receptionist in the waiting area asking a client if they want to reschedule, but it's the therapist that has to plant that seed during the exit interview. If you really believe massage has cumulative benefits, it's up to you to introduce that concept to your clients. I have found that most clients just don't know any better. They need to have it suggested that a return visit would be beneficial to their health. That suggestion needs to come from their trusted massage therapist, not a receptionist.
Speaking as a former owner of a wellness center, I think it's imperative for therapists to be comfortable marketing what we do, how it affects people and what role massage plays in healthcare. Many hours of my staff time were spent drilling therapists on the dialogue to use when educating clients. The reasons were two-fold. I needed my therapists to reschedule clients and build the business, but I also wanted to make sure the clients were receiving the best care and the right information. I relied heavily on my therapists to handle this aspect of the business. Most employers feel the same way. Most of my staff found it awkward at first. But when their schedules starting filling up and they had happy, repeat clients, they thanked me for the push. Most of my staff even commented that it became easier over time and now was a part of their normal exit interview.
Now as an educator, I tell my students about marketing and how employers are not happy with the level that now exists. This usually starts quite a debate. The students argument is, "if we are hired to sell, we should be paid more" or "by going to work for someone else, the responsibility of marketing should fall solely on the employer." The reality is that nothing could be further from the truth. Sure, the written marketing and the publicity might fall on the business owner, but the other elements of marketing fall on the therapist. However, if you want to take that stand, perhaps you are better suited for private practice.
To be truly successful in this field, you have to sell it. The world "sell" is so loaded and comes with such negative connotation. I hate to even use it, but isn't that what we do? We sell massage. Use whatever verb you want, but it's all the same thing. If you are not comfortable doing this, I suggest you role play and practice with a friend. If you are self-employed and clients are not coming back for regular care, ask yourself if you are educating and dialoguing thoroughly during your exit interview. If you work for someone else and are not getting the repeat business, talk to the business owner about how to better prepare your dialogue to improve retention. This isn't a perfect science and it takes some practice, but it's something that can be improved. After all, don't you want to see all of your clients incorporate massage into their healthcare practice?
I guess a certain amount of my frustration is because of the passion I feel for this work. It's hard for me NOT to sell it. Massage is something I believe in with every fiber of my being and I find it easy and exciting to talk about. I have been a client of massage for many years, so I truly believe in the benefits. Get me going and I am hard to stop. So why do therapists still struggle when talking about massage therapy and its benefits? Why do therapists reject marketing the profession and refrain from telling clients about its cumulative effects? Ask them to reschedule? Perhaps they are not convinced themselves. Ask yourself, when was your last massage? Do you really believe in what you do? If you can't remember your last massage, book one today! If you receive care regularly, you should know how good it feels and you should want everyone to feel the same way. You have to believe in what you do to market it successfully.
The bottom line is that no matter what your working venue, it's up to you as the therapist to promote this work. You alone are in the room with the client. The client looks to you for information and holds you in a position of authority in this matter. For the forward progress of the profession, for the benefit of keeping clients educated and for the sake of business, talk it up. Tell people how great it is. Suggest they reschedule to receive added benefits, and believe it when you say it. Your sincerity will be apparent, business will blossom and your schedule will be full.
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