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Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
February, 2006, Vol. 06, Issue 02
Move Your Mind and Engage Your Brain
By Dale G. Alexander, LMT, MA, PhD and Lansing Barrett Gresham
This article describes a distinction between the mind and the brain. The unique proposal made here unravels the cobbled linguistic milestone of history which Rene Descarte postulated hundreds of years of ago, with his inference that the "mind" was the seat of rationality and intelligence.His construct was useful to the evolution of civilization within his context and the timing of history. This article offers a bridge specifically relevant to our collective humanity in its struggle to heal itself now.
To live fully in the present moment, you need to learn to move your mind into the past. Your brain has the ability to select for satisfaction and enjoyment. Your mind does not. It's limited to avoiding negatives by seeking them out!
The mind is a sliver of our human consciousness, only a piece of the pie. Your brain, your psyche, your physical body, your emotional, energetic and spiritual selves each contribute far more to the experience of your life, as they all directly process sensory information. The mind does not.
It's similar to a junior curator in a world-class art museum, spending his time silently criticizing the creativity all around, rearranging the pieces, switching some for others, storing and then losing many altogether, according not to their intrinsic value or meaning, but to manipulate the apparent importance between the creative examples.
Our collective human dilemma is that physical survival is no longer our sole objective. The mind did, and does, serve this end in the short term by assisting us to "fit in" as children. A baby not cared for dies.
The mind must live in the future in order to create predictive models and rules related to a broad range of stimuli to which the meaning of possible threat has been assigned. Inevitably, this morphs into an axis of black and white, assigning "right" and "wrong" values to all our feelings and behaviors. Under the guise of protecting you, the mind prompts you to avoid all that it has labeled as bad or wrong by inhibiting your movements and feelings.
The mind's orientation to prediction and avoidance is what displaces it in time and space. This splinters our capacity for present-time, adult congruence between intention and behavior. Intentions always are oriented toward the future. Behavior always is a present-time reality. No wonder we so often feel a lack of connection with one another and within ourselves!
The mind's inability to directly access sensory input also prevents it from distinguishing between what is symbolic and what is real. You can't have a relationship with a photograph. Minds do!
The mind's models exaggerate and distort the significance of stimuli such that codes of behavior are intensified to a point where noncompliance with them is interpreted as life-threatening. The mind's models produce rules which we subconsciously live by. Thus, a scolding by a parent for adventurous behavior might echo into one's adult life as an aversion to risk-taking in all venues of life.
The mind is organized to filter data by recognition of both sensations and images/symbols. Its models, translated as "beliefs about reality," eventually become substituted for reality. They are based on a past that no longer exists, yet which the mind insists is re-occurring. As a result, all of us in varying degrees, struggle with repeating negative patterns of attitude, behavior and relationships.
The mind designs its models both from information it has gathered and in response to what has been required by our caretakers. All rules inhibit spontaneity and thus creativity. When we hear, "children are to be seen and not heard," we are less likely to sing; when repeatedly admonished to be physically still, we are less likely to dance.
The models and rules become a self-stimulating, self-perpetuating and self-fulfilling labyrinth of prophecies. The mind shifts easily between compartments of ideas about the very experience from which its nature requires it to remain always aloof.
The mind's inherent limitation is that it distorts present-time information that would allow one to update its models, because it lives in its prediction of what's going to happen rather than in the unfolding of moment-to-moment direct experience. Remember, its primary function in our childhood was to assist us to conform, so that we would be included.
As just described, the mind is the source of our anticipatory anxiety and our disabling inhibitions, which escalates the degenerating effects of stress or trauma upon human physiology and the quality of our lives.
Now, the good news. The mind can be trained. When shown how, the mind does tend to prefer to notice what has just happened! Thus, it becomes consistently right in the moment and far more accurate in its predictions about the future. Such an orientation allows it to review its models in view of real-time data without conflict internal to itself or with the other levels of human consciousness. When dominance by the incessant predictions of the mind diminishes, it becomes possible for you to experience surprise, discovery and vulnerability without threat. That which seemed impossible or unattainable becomes tantalizing, interesting, and an open question. Your capacity for creativity and self-trust naturally is stimulated.
Creativity engages your brain! It's the single greatest preserver of intelligence and our guardian against dementia. Trusting your capacity to create what you actually desire for your life engages your brain! Allowing yourself to explore what you truly want and inviting success engages your brain! This includes developing an adult sensory and attitudinal preference for satisfaction and contentment in the present moment. The phrase "good enough for now" is particularly helpful to this cultivation.
You know you have engaged your brain when you find yourself behaving in novel ways and enjoying it. Curiosity becomes your attitude, replacing judgment and criticism. Appreciation and gratitude are felt more often. Your body moves with more positive anticipation toward others and a feeling of belonging within yourself.
The junior art curator is transformed into an individual who now begins to relate to art as an active expression of human awareness, trusting his sense of what will amuse, delight and inspire those who come to the museum. He now can deepen an experience of relationship within himself and with others as he seeks for ways to contribute to the world.
This article is the first of many which will introduce you to the concepts and principals of Integrated Awareness®. I am honored to be co-authoring these with the founder of the approach, Lansing Barrett Gresham. I will continue to write articles pertaining to the Inside-Out Paradigm as they flow from my heart. In this New Year, it feels as though my best contribution to our profession is to get the word out to you of this amazing and effective healing approach - one which I have been studying for 17 years, and which has added so much to the transformation and healing within my clients.
Integrated Awareness® recruits all the levels of consciousness. It's an expanding set of learning processes that directly engages your nervous system through movement, touch and higher perceptual states of consciousness. From these experiences, permission to explore and experiment might begin to flower. New sets of reference points can be created that transform your ability to make conscious choices to include more of who you are, resolve personal conflicts, and participate in the creation of a life and a world you prefer. To learn more about Integrated Awareness®, visit www.inawareness.com.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
Lansing Barrett Gresham, founder of Integrated Awareness®, has more than 30 years of touch and movement work utilizing enhanced perception. He has co-authored two books, Ask Anything and Your Body Will Answer and The Body's Map of Consciousness®. For more information please visit www.inawareness.com.
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