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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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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).
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.
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.
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).
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.
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.
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%.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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.
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.
February, 2009, Vol. 09, Issue 02
Consistency Breeds Success
By David Kent, LMT, NCTMB
The current economic slowdown is stressful to everyone. Business is slow, treatments are down, and both are affecting the bottom line. During these challenging times, however, there are things you can do consistently to breed your success. Instead of getting frustrated and discouraged, use this extra downtime to your advantage. It can help you achieve ongoing success in your practice, whether you are in a clinical, spa or outcall setting.
Getting Out There
Marketing professionals know how important repetition is to "imprint" a product in the mind of the consumer. This same concept applies to massage therapy and your ability to imprint your services on potential referral sources. Each week, I visit specific locations that have become my best referral sources. If you aren't getting the number of referrals you would like, it's time to get out there and introduce yourself. Here are few places to start:
Talk It Up
You took the time to get out there; now you need to make it count! Your goal is to attract business by educating your referral sources about the importance of massage therapy. Advertisers use test markets and focus groups to refine their messages. But before you begin pitching your services, you will need to practice and refine your "commercial" with your "test market," which is located in the next community over.
That's right. You need to practice your selling skills before you officially launch your marketing campaign with your "real" audience in your own community. Practicing gives you the opportunity to build your confidence while simultaneously getting comfortable with introducing yourself to strangers, telling them what you do, and answering commonly asked questions. But don't let yourself off the hook with your practice sessions. Make sure that you are as professional and courteous with your test audience as you plan to be with your "real" audience. The following tips will help you get comfortable in this newfound role as salesperson:
Show and Tell
Explaining the basics helps others understand how massage therapy can help with headaches, sciatica, neck and back pain, and more. Additionally, using "props" can help educate your clients. Carry a trigger-point flip chart with you. Explain how trigger-point patterns are often the cause of severe pain. Take a moment to examine the posture of the person you are speaking with. Educate your contact about how each individual's unique postural pattern can be treated with massage therapy. Then describe your ability to custom tailor your treatments accordingly.
Discuss how you can be of mutual benefit to each other: Can you send them business? Take some of their business cards to pass out, and ask them to do the same.
Do something unique so that your referral sources remember you. Give a helpful tip; if you are talking with a secretary who complains of neck pain, suggest that they try a telephone headset, or adjust the height and angle of the computer monitor or chair. Teach simple stretching techniques. Leave healthy snacks. I know people who are always on the run and rarely stop to eat. Sometimes, I'll drop off an apple, nuts and a bottle of water, along with my business card. Leave samples of topical pain relievers.
You've invested your time and energy in marketing your practice. Now make sure that your referral sources can find your name and number when it counts. Be sure to leave: business cards, magnets, flyers, pens, note pads and any other tool you think will leave an impression.
Clients often want to understand and learn more about their condition, so put your education to good use. Continually educate and re-educate your clients. Show them how to stretch and maintain themselves between sessions. Explain the importance and benefits of regular exercise. Use visuals, such as anatomical models, textbooks, trigger-point charts or other charts to show the musculoskeletal origins of their condition. Review the effects of poor posture and explain how it contributes to pain. Since a picture is worth a thousand words and many cell phones have cameras, taking postural analysis photos on the road is easier than ever. Read "Getting Comfortable with Postural Analysis" (Massage Today, July 2008) for more tips on using postural analysis photos. Discuss the uses of ice, heat, and topical analgesics for pain.
Say "Thank You"
Place follow-up calls to new clients. Send thank you notes to clients and referral sources.
We typically avoid the things that we are uncomfortable doing; however, with practice, you will quickly realize that certain thoughts and actions consistently focused in positive directions will ensure your success. And if you practice your selling skills consistently, you will improve each time you sell your services to someone new.
Remember: Practice makes perfect! Hang in there and don't get frustrated. Results don't always happen overnight. Just invest the time and keep a positive attitude. You'll be amazed with the results!
Click here for more information about David Kent, LMT, NCTMB.
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