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Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
February, 2009, Vol. 09, Issue 02
Are Your Clients Trained?
By Jenn Sommermann, LCMT
Many of my students have been asking me about the economy and how it has affected my practice. I understand their concern and value their questions. I am also pleased that they feel comfortable enough to ask and are considering the future of the industry and how the changed economy is going to affect the bottom line. That's head-ups thinking and shows me my teaching efforts are paying off.
We have a candid conversation about the economy, where I think it is headed (not that President Obama asked me) and how my business is doing in these tough times. I am pleased to admit that my private practice has not suffered one bit. The reason is simple. My clients are trained.
There are two sides to the massage industry. There is the health care side of the industry and the personal care side. "Health care" encompasses medical massage, treatment of injuries and specific conditions, and massage for general well-being. This is by no means an exhaustive list. The "personal care" side of massage typically happens in spas and salons, on cruises or at resorts. The clients are not "regulars" and often schedule as a result of a gift certificate or special occasion. Both are necessary and valid models of care, and many massage therapists have their hands in both camps.
One of the most appealing aspects of being a massage therapist is variety and flexibility. The typical therapist has two or more jobs, so you often find an MT who works in both the health care and personal care setting. Other MTs have a preference and focus more in one area. Both are fine and acceptable; no judgment here.
The interesting point to make is that in these tough economic times, one of these camps has taken a "hit" and one has stayed constant. Can you guess? Americans, and people all over the world, have cut back on excessive spending. Much of that excessive spending falls into the personal care category. Getting your nails done or having highlights put in your hair can wait an extra week or two, or be tabled altogether. When the choice is between a good manicure or food, the right decision seems clear.
Health care, however, is an area that people have not skimped on. The dollars spent on getting well and staying well has remained constant and unchanged, and I believe that is the key to being recession proof. Taken to another level, the trend has been to spend extra money to stay well in the first place.
Training Your Clients
Here's where the training comes in. My clients are "trained" that the care I provide is health care. Now more than ever, it is important to stay healthy, not get sick and miss work, not throw out your back, and keep your musculature strong. This is not the time to skimp on massage dollars. You've heard the saying, "penny wise and pound foolish"? That applies directly to paying for regular massage as part of health care and preventing sickness or injury in the first place. The average client will save time away from work and money if they consider and use massage as part of health care.
The easiest way to "train" your clients that massage and what you provide is health care is to decline tips. Turn away money? Yep. Something as simple as declining a tip sends a message to your client that you are not a personal care provider. Just today, I was given a $10 tip. I kindly gave it back to the client, thanked her for the compliment and told her the best compliment is the referral of family and friends. She had a puzzled look on her face and I further informed her that I consider myself an allied health care professional. "Just like you don't tip your doctor or psychotherapist, I don't accept tips either. If I considered myself a personal care provider like your nail technician or stylist, I would happily accept the tip." She was blown away, but understood. Within minutes, she booked another appointment for two weeks later.
There is no doubt about it: Tough economic times are here for a while. People will continue to cut their budget and personal spending. However, I think you can recession proof your practice by positioning yourself on the side of health care. "Train" your clients by educating them about what you do, how you do it and how it can help them.
Click here for more information about Jenn Sommermann, LCMT.
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