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Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
March, 2008, Vol. 08, Issue 03
Make Your Table a Sanctuary
By Angie Patrick
In my previous two columns, I shared information about some of the products you use every day, such as lubricants. I also shared tips on how to choose the correct table for your specific needs. No doubt lubricants and your table are two types of products you work with every day. But there are a few other very important pieces of which you should be aware. These pieces are designed to provide your client with added comfort, adequate cover and the promise of cleanliness. These items are your table additives and dressings. In this article, I would like to share some ideas that can enable you to make your treatment table an oasis for your client, while maintaining proper attention to sanitation.
Not all modalities will require the same types of table dressing. Sometimes, all you will need is a sheet. However, in this article, I would like to focus on modalities designed for relaxation and stress relief. I would like to share some ideas that can change your treatment table from just a place to give massage to a healing and stress-melting cocoon of pure comfort and client pampering. (Sign me up!)
Your purely indulgent table should have a foundation of warmth. Table warmers or bed warmers are different from electric blankets. They typically are the size of the surface of your table and have multiple setting for levels of heat. There are a variety of types on the market from ones that are sewn into a flannel fabric to those encased in vinyl with a flannel cover. The vinyls are better suited for any treatment that introduces moisture, such as mud and wraps. (Always refer to the manufacturer's instructions before introducing anything that could conduct electricity. Make sure your specific warmer is made for this.) Still others are intertwined in a plush fleece fabric, providing cozy warmth and added cushioning.
Once you have a platform of warmth, you may decide you need a little more cushioning and pampering for your client. To add a bit more cushion to even the hardest table, add a fleece pad cover to your emerging cocoon. These can be made of natural wool, although, they can certainly be priced higher than some of their synthetic counterparts. One thing you will want to consider is laundering these pieces. The synthetic option is readily washable and usually can be dried on low heat. (Refer to the care instructions for the pad you buy.) This flexibility can certainly be a plus; additionally, you run less risk of a client having an allergic reaction to wool.
OK, so now we have a warmer and a fleece pad. This table is beginning to sound like a real retreat, but we still have a few more items that could truly make it a sanctuary. At this point, I would like to address an issue regarding a barrier between the next layer and the fleece pad. Since you will not want to launder the pad after each use, you will want to purchase a thin, impenetrable barrier that will inhibit cross-contamination, while allowing for the warmth and cushion of the first two layers to shine through. There are barriers made of plastic and vinyl on the market, although, I find the vinyl to be less noisy and easier to clean.
Now the sheets - so many options, so many materials. How do you choose? I have to say I am a big fan of flannel. To me, there is little that can compare to the encompassing comfort of fluffy, soft flannel. Although, I must admit I have had some amazing massage experiences on well-appointed, crisp cotton sheets as well. These days, there are more eco-friendly choices as well, with fibers made of bamboo. Bamboo is a readily renewable resource that has become popular in everything from flooring to furniture. It has recently emerged on the textile scene, creating some extremely soft and luxurious sheet sets. You also can find organic cottons that are quite luxurious. Organic sheet sets are often three to four times the cost of typical massage sheet sets, and this can make it an interesting choice for an item that will be laundered after each use. You will want to choose options that will withstand daily washing, oil stains and repeated usage. Also keep in mind that sheet sets purchased specifically for massage commonly include the cradle cover of a matching material.
This brings us to blankets. I am fond of thermal, cotton-knit blankets. These blankets are cooler in summer and warmer in winter. They are truly workhorses, as they can withstand repeated usage and can hold their shape. For an extra-special treat, try one of the fleece blankets on the market. These are cozy, soft and reminiscent of a baby blanket to the touch. Very indulgent! If you choose to go the far end of the luxury scale, you can purchase a twin-sized down comforter, and have a beautiful duvet and matching pillow to dress the table. Of course, these will be removed before treatment, but the client will get the immediate idea they are in for a soothing and relaxing experience.
Your table should reflect you and your idea of comfort. Imagine yourself on the table and then decide which pieces would make you feel relaxed, renewed and rejuvenated. Client perception is hugely important. Couple a quality massage with indulgent comfort, and your name will be on their lips for days. Hopefully, this pleasant experience will result in word-of-mouth referrals, providing you with a broader client base.
I would love to hear some of the ways you make your table a sanctuary. Feel free to drop me a line and let me know what you do to achieve the ultimate in client comfort! I look forward to hearing from you.
Click here for more information about Angie Patrick.
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