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The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
January, 2009, Vol. 09, Issue 01
Cutting Back Does Not Mean Cutting Corners
By Angie Patrick
With the new year upon us, now is the time to make some observations, commitments and resolutions about the way you do business. As our economic climate is changing globally, the effect to our practice or small business can be felt. Cutting back does not equate to cutting corners. Making changes in some of the current ways you promote yourself, promote your professionalism, and conduct your everyday business can net you additional assets rather than liabilities. Making sound choices appropriate for your business, your image, and your wallet can only assist you through these uncertain times, allow you a measure of consistency in the execution of a sound business plan and help provide greater financial stability.
Let's look at how you operate your business. Are you a mobile therapist? If so, do you keep an accurate record of your mileage? Have you kept your automobile maintenance receipts? Do you have a gas card that pays you a reward of some kind, be it airline points, discounts on future purchases, or free gas? Do you make all your business purchases with the same credit card, also allowing for reward points, cash back or some other benefit? If these are things you have not considered, you should. These things help you to manage the expenses and provide relevant and accurate information at tax time, often resulting in some deductions you may be missing!
Do you have a brick-and-mortar location? If so, have you considered renegotiating your lease with your landlord? With so many businesses sitting empty, the last thing your landlord will want to do is lose a good tenant. They may opt for a reduction in rent rather than be faced with possible vacancies. It certainly cannot hurt to broach the subject when your lease is up for renewal. This can potentially be a savings of hundreds of dollars a year, which can provide you with extra money you can funnel into other areas of your business that may need attention.
Do you buy your own supplies? If so, consider bulking your ordering to see if you can obtain any additional discounts. If you typically order monthly or bimonthly, consider ordering quarterly and buying in bulk. This often results in a decrease of your supply expense, and all it costs you is a bit of pre-planning and storage.
Do you do any advertising? If not, consider making the investment in your business, and get the word out to the public. You do not have to run out to the newspaper and take out a full-page ad; you can use smaller venues to build your business. Consider placing ads in church bulletins, and in community publications. Perhaps you utilize community sponsorship opportunities to get your name in the community. Little League teams, Girl Scout events, Fun Runs and charity events all reach your target market, and can help you establish yourself as a mainstay supporter of your community and a subject-matter expert.
Can your customers get in contact with you easily? If not, then you run the risk of having them make another phone call and go to a competitor. When people are ready to book an appointment, they do not want to wait for a return call in order to confirm. They want immediate gratification and the satisfaction of knowing their appointment has been made.
If you book your own clients, it is often difficult to timely manage the inbound calls when your services are booked the majority of the day. It may be advantageous to look into an online service to manage bookings for you. This would be a Web site service that enables your clients to book their appointments themselves online, and keep you from always being behind the eight ball in returning calls. One such service I have seen is www.bookingcalendar.com, and from what I can tell, it takes all the stress off of managing a client book.
Are you contacting your customers on a regular basis? If not, you may be missing opportunities for bookings for birthdays, anniversaries, client gifts, thank-you gifts and bridal parties. Taking a moment to touch base with your client base once a month by phone, e-mail, newsletter or postcard can help put your business at the top of their mind when it comes to gift-giving and celebrations. Not to mention that it can prompt them into a rebooking of your services for themselves!
Are you as organized as you should be? Do you keep receipts in the glove box, loosely in the desk drawer, or tossed in a shoebox? Are your customer contacts in a database or file for easy reference? Do you have updated client intake forms filled out for each client? Are you appropriately recording all transactions for tax purposes? Do you have billing up to date? Are your expenses managed appropriately? If not, consider working toward bringing these items in line with a concentrated effort to de-clutter, organize and manage these very real business needs. You are a professional, and a professional runs their business; they do not allow their business to run them.
Take a few minutes to consider these issues, and see if your business could benefit from making some changes. The chances are it will, and could help you achieve a better result for the time and energy you expend to make your business work. The goal here is not to be cheap, but rather to streamline and organize to maximize your growth potential in tighter economic times. By tweaking a few things, you will see the positive difference you can make, and it will encourage you to look into new ways to trim the excess, and make the existing processes more efficient. With greater efficiency comes greater profitability, and making more money doing what you enjoy is a very good byproduct indeed.
Click here for more information about Angie Patrick.
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